Individual
DR. SEBASTIAN KLISIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9250 CORKSCREW RD STE 15, ESTERO, FL 33928
(239) 687-3199
(855) 398-9437
Mailing address
9250 CORKSCREW RD STE 15, ESTERO, FL 33928-3217
(773) 895-0708
(855) 398-9437
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS12803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013013900
—
FL
Enumeration date
06/16/2008
Last updated
05/29/2020
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