{"npi":"1699752436","type":"NPI-1","status":"active","name":{"display":"David Cislo D.O.","other":[],"first":"DAVID","last":"CISLO","middle":"GEORGE","credential":"D.O."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"FL","license":"OS5665"}]},"addresses":[{"purpose":"LOCATION","street_1":"13823 TAMIAMI TRL","city":"NORTH PORT","state":"FL","postal_code":"342872069","country_code":"US","phone":"9418880770","fax":"9418880778"},{"purpose":"MAILING","street_1":"2675 WINKLER AVE FL 2","city":"FORT MYERS","state":"FL","postal_code":"339019342","country_code":"US","phone":"8778563774"}],"license":{"state":"FL","number":"OS5665"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"039219700","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"80241","state":"FL","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090309000546","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"FL","pac_id":"2264471796"}]},"enumeration_date":"2005-12-22","last_updated":"2024-01-03","_meta":{"source":"NPPES","snapshot_date":"2024-01-03","doc_url":"https://findmynpi.com/api"}}