Organization · Type 2 NPI
Craig Depodesta, Do, PA
General Practice Physician · Lauderdale By The Sea, FL
NPI number
1649537754
Active
Practice location
231B Commercial Blvd
Lauderdale By The Sea, FL 33308-4441
Fax (954) 306-8234
Mailing address
PO Box 132
Pompano Beach, FL 33061-0132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | OS8042 (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.
3 other providers at this address
About NPI 1649537754
Craig Depodesta, Do, PA's National Provider Identifier is 1649537754, issued on Apr 13, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lauderdale By The Sea, FL. The record was last updated on Aug 10, 2012.