David G Cislo (NPI# 1699752436, PAC ID# 2264471796) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699752436 |
| PAC ID by PECOS | 2264471796 |
| Professional Enrollment ID | I20090309000546 |
| Full Name | David G Cislo |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
13815 Tamiami Trl North Port FL 34287-2069 |
| Phone Number | 9414264900 |
| Gender | M |
| Medical School | SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9830244433 |
| Number of Group Practice Members | 532 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13815 Tamiami Trl, North Port, FL 34287-2069 | 9414264900 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Physicians | 503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Hope Adler | Nurse Practitioner | Millennium Physician Group LLC | 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102 |
| Kalyani Regeti | Internal Medicine | Millennium Physician Group LLC | 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508 |
| Kevin J Ziegler | Physician Assistant | Millennium Physician Group LLC | 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 |
| Jennifer Azelton | Nurse Practitioner | Millennium Physician Group LLC | 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 |
| Marcanthony H Morgan | Nurse Practitioner | Millennium Physician Group LLC | 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698 |
| Lauren Blair Arcilla | Nurse Practitioner | Millennium Physician Group LLC | 830 N Mills Ave, Arcadia, FL 34266-8780 |
| Roxanne Denise Hooper | Nurse Practitioner | Millennium Physician Group LLC | 2335 Aaron St, Port Charlotte, FL 33952-5305 |
| Todd Marlowe | Nurse Practitioner | Millennium Physician Group LLC | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 |
| Nicholas Anton Shelley | Nurse Practitioner | Millennium Physician Group LLC | 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 |
| Margaret Desear | Nurse Practitioner | Millennium Physician Group LLC | 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113 |
| Street Address |
13815 TAMIAMI TRL |
| City | NORTH PORT |
| State | FL |
| Zip | 34287-2069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Eaton | Family Medicine | Millennium Physician Group LLC | 13815 Tamiami Trl, North Port, FL 34287-2069 |
| Stephanie Vlahovic | Nurse Practitioner | Millennium Physician Group LLC | 13815 Tamiami Trl, North Port, FL 34287-2069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie L Renner | Clinical Social Worker | Cts Addiction and Counseling Services LLC | 410 Sevilla St, A, North Port, FL 34287-1134 |
| Steve J Brasington | Psychiatry | Coastal Behavioral Healthcare, Inc. | 12497 Tamiami S Trl, North Port, FL 34287-1415 |
| Linda S Grappin | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
| Carl W. Grappin | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
| Sharose Anne Mahshie | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
| Ross Allen Grappin | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
| Lee Adam Grappin | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
| Robert B Briggs | Family Practice | 12450 Tamiami S Trl E, North Port, FL 34287-1473 | |
| Scott Paul Kurecki | Podiatry | Scott P Kurecki Dpm Pa | 12757 S Tamiami Trl, North Port, FL 34287-1934 |
| Richard R Leitzen | Podiatry | Scott P Kurecki Dpm Pa | 12757 S Tamiami Trl, North Port, FL 34287-1934 |
| Find all physicians in zip 34287 | |||
| City | NORTH PORT |
| Zip Code | 34287 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTH PORT + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.