DR. JOHN DESTEFANO (NPI# 1124289111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124289111 |
| Entity Type | Individual |
| Full Name | DR. JOHN DESTEFANO |
| Credential | DPM |
| Practice Address |
7720 Us Highway 98 W Suite 340 Miramar Beach FL 32550-7230 |
| Practice Telephone | 7187721389 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO 3715 | FL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932225117 | John A Destefano | Podiatrist | 212 Lochmore Rd, Riviera Beach, FL 33407-1302 | 2007-03-21 |
| Street Address |
7720 US HIGHWAY 98 W SUITE 340 |
| City | MIRAMAR BEACH |
| State | FL |
| Zip Code | 32550-7230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265813588 | Margaret T Russell | Nurse Practitioner | 7720 Us Highway 98 W, Ste 110, Miramar Beach, FL 32550-7230 | 2015-06-11 |
| 1871995910 | Allen Prier | Pharmacist | 7720 Us Highway 98 W, Miramar Beach, FL 32550-7230 | 2014-09-19 |
| 1629401658 | Katherine Lee Rourke Porter | Nurse Practitioner | 7720 Us Highway 98 W, Suite 110, Miramar Beach, FL 32550-7230 | 2013-08-13 |
| 1003250895 | Elizabeth Hingley | Nurse Practitioner | 7720 Us Highway 98 W, Suite 230, Miramar Beach, FL 32550-7230 | 2013-04-23 |
| 1205174232 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 7720 Us Highway 98 W, Suite 340, Miramar Beach, FL 32550-7230 | 2013-01-25 |
| 1265795918 | Aaron Todd Creek | Orthopaedic Surgery | 7720 Us Highway 98 W, Miramar Beach, FL 32550-7230 | 2012-06-18 |
| 1417261330 | Meagan C. Boyle | Physical Therapist | 7720 Us Highway 98 W, Suite 220, Miramar Beach, FL 32550-7230 | 2010-08-03 |
| 1568600708 | Shannon Lynn Lindsay | Occupational Therapist | 7720 Us Highway 98 W, Suite 220, Miramar Beach, FL 32550-7230 | 2009-01-26 |
| 1427225903 | Katia Dieguez-otero | Internal Medicine | 7720 Us Highway 98 W, Suite 100, Miramar Beach, FL 32550-7230 | 2008-05-13 |
| 1164602058 | Christina Johanna Morelock | Internal Medicine | 7720 Us Highway 98 W, Suite 100, Miramar Beach, FL 32550-7230 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652645 | S & R Dental Services, Inc. | Dentist | Carr. Int'l Zaragoza 445-1, Cd. Juarez, CHIHUAHUA 32550 | 2020-09-03 |
| 1801304746 | Dina Smith | Student in an Organized Health Care Education/Training Program | 12815 Highway 98, Suite 108, Miramar Beach, FL 32550 | 2018-01-12 |
| 1023484565 | The Hormone Restoration Center | Health Maintenance Organization | 12889 Hwy 98 W, Suite 107b, Miramar Beach, FL 32550 | 2015-08-19 |
| 1093051344 | Jason E Baker Dds LLC | Dentist | 77 South Shore Drive, Miramar Beach, FL 32550 | 2012-12-13 |
| 1801166210 | Yadhira A. Diaz | Dentist | Carr. Internacional Waterfill #500, Zaragoza, CHIHUAHUA 32550 | 2012-01-03 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| 1922234160 | Ryan Winters | Physical Therapy Assistant | 7720 Highway 98, 220, Destin, FL 32550 | 2009-06-02 |
| 1619169133 | Jessica Marie Virtue | Specialist | 12815 Hwy 98 W, Suite 114, Destin, FL 32550 | 2007-08-17 |
| 1811100217 | Maria G Vazquez | Dentist | 445 Zaragoza, Juarez, MEXICO 32550 | 2007-05-08 |
| 1013137082 | Dental Waterfill Sc | Dentist | 445 Saborosa Ave, Sabarosa, CHIH 32550 | 2007-05-01 |
| Find all providers in zip 32550 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | MIRAMAR BEACH |
| Zip Code | 32550 |
Please comment or provide details below to improve the information on DR. JOHN DESTEFANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.