Individual provider · Type 1 NPI

Kevin J. Desantis, MD

General Practice Physician · Port Charlotte, FL

NPI number 1255353595 Active

Practice location

1912 Kings Hwy Unit 700
Port Charlotte, FL 33980-4305

Fax (941) 391-5213

Mailing address

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Other practice locations

  • 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 · (941) 624-2704

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XME58093 (FL)
General Practice Physician Primary 208D00000XME58093 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1255353595

Kevin J. Desantis, MD's National Provider Identifier is 1255353595, issued on Jul 24, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jun 3, 2024.