Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN DISTASIO, M.D.
ActiveJOHN DISTASIO, M.D. is a Pediatrics healthcare provider located in FORT MYERS, Florida. NPI 1457351611 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · FORT MYERS, FL
Registration Details
- NPI Number
- 1457351611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (21.038032959738 yrs)
- Last Updated
- Mar 25, 2021
- License
-
ME57595 (FL)
Practice Information
- Address
-
4751 S CLEVELAND AVEFORT MYERS, FL, 33907Browse FL providers · Browse ZIP 33907
- Phone
- 2393439888
- Fax
- 2393439868
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| EMILIO DELVALLE | M.D. | 1477551497 |
| IRWIN KASH | M.D. | 1700886967 |
| MARTIN J SHERMAN | M.D. | 1942201603 |
| DR. BHARTI S LALLA | M.D. | 1265426753 |
| MARIA PIEDADE DA PINHEIRO OLIVEIRA-SILVA | M.D. | 1225025919 |
| WILLIAM WOOD JR. | M.D. | 1760479455 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.