David G. Cislo, D.O., P.A.
Nurse Practitioner in North Port, FL. Organization (NPI-2).
NPI number1346356854
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1346356854
- Entity type
- Organization (NPI-2)
- Legal business name
- David G. Cislo, D.O., P.A.
- Organization subpart
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP3380712 | FL | Yes |
| 207Q00000X | Family Medicine | OS5665 | FL | |
| 207R00000X | Internal Medicine | OS6317 | FL |
Other names
- The Physicians Office Of North Port (Doing Business As)
Practice location
13815 Tamiami TrlNorth Port Medical Center
North Port, FL 34287-2069
Phone 941-426-4900 · Fax 941-426-3994
Mailing address
13815 Tamiami TrlNorth Port Medical Center
North Port, FL 34287-2069
Phone 941-426-4900 · Fax 941-426-3994
Authorized official
Michelle A Robillard
Practice Administrator
9414264900
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