DAVID G. CISLO, D.O., P.A.
Nursing in Venice, FL

License number
Florida OS5665
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida OS6317
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Florida ARNP3380712
Category
Nursing
Type
Nurse Practitioner
Owner
Name: MRS. MICHELLE A ROBILLARD
Title: PRACTICE ADMINISTRATOR
Phone: (941) 426-4900
Address
Address
13815 NORTH Port Medical Ctr, Venice, FL 34287
National Provider ID: 1346356854
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DAVID G. CISLO, D.O., P.A. at bizstanding.com

David G. Cislo, D.O., PA

Venice, FL

Status:
Inactive
Registration:
Aug 5, 1992
Addresses:
12749 Tamiami Trl S, Venice, FL 34287
13815 Tamiami Trl, Venice, FL 34287
State ID:
V55358
Business type:
Domestic for Profit Corporation
President, Vice Presidents:
Primary Care Associates, Lc Managing Member, inactive,David G. Cislo President, Treasurer, Secretary, inactive,Robert F. Gutierrez President, Vice President, inactive

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