Individual provider · Type 1 NPI

John Destefano, DPM

Podiatrist · Fort Polk, LA

NPI number 1124289111 Active

Practice location

1585 3rd St
Fort Polk, LA 71459-5102

Mailing address

7720 US Highway 98 W, Suite 340
Miramar Beach, FL 32550-7230

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000XPO 3715 (FL)

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.

193 other providers at this address

About NPI 1124289111

John Destefano, DPM's National Provider Identifier is 1124289111, issued on Jun 23, 2008. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Fort Polk, LA. The record was last updated on Nov 14, 2025.