Individual provider · Type 1 NPI

David Vanaver Lyskowski, PA-C, DO

Student in an Organized Health Care Education/Training Program · Sarasota, FL

NPI number 1750789558 Active

Practice location

1700 S Tamiami Trl
Sarasota, FL 34239-3509

Mailing address

1532 Inventors Ct
Fort Myers, FL 33901-9659

Other practice locations

  • 13782 Plantation Rd, Building 4, Suite 201, Fort Myers, FL 33912-4462 · (239) 343-1105
  • 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 · (239) 343-1105

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Medical Physician Assistant 363AM0700X9107603 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750789558

David Vanaver Lyskowski, PA-C, DO's National Provider Identifier is 1750789558, issued on Dec 9, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sarasota, FL. The record was last updated on May 6, 2026.