Healthcare Provider Details

I. General information

NPI: 1487602900
Provider Name (Legal Business Name): DAVID B CILBRITH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DAVID B CILBRITH MD

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 SANDLAKE COMMONS BLVD SUITE 2225
ORLANDO FL
32819-8040
US

IV. Provider business mailing address

7350 SANDLAKE COMMONS BLVD SUITE 2225
ORLANDO FL
32819-8040
US

V. Phone/Fax

Practice location:
  • Phone: 407-352-7660
  • Fax: 407-352-3641
Mailing address:
  • Phone: 407-352-7660
  • Fax: 407-352-3641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME39278
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: