Dr Laura Destefano, DO | |
2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | |
(239) 652-1800 | |
(239) 652-1930 |
Full Name | Dr Laura Destefano |
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Gender | Female |
Speciality | Dermatology |
Location | 2489 Diplomat Pkwy E, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003145087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | OS 10179 (Florida) | Primary |
Entity Name | Waters Edge Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134148992 PECOS PAC ID: 6901893155 Enrollment ID: O20040428001535 |
Mailing Address | Practice Location Address |
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Dr Laura Destefano, DO 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 Ph: (239) 652-1800 | Dr Laura Destefano, DO 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 Ph: (239) 652-1800 |
Janet Flores Cheng, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 326 Del Prado Blvd N, Suite 301, Cape Coral, FL 33909 Phone: 239-458-1131 Fax: 239-458-7789 | |
Dunnett Capdevilla Durando, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 413 Del Prado Blvd S Ste 101, Cape Coral, FL 33990 Phone: 239-443-1500 Fax: 239-443-1510 | |
Miss Bianca Rhea Briones Villafuerte, MMS, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2125 Se 16th Pl, Cape Coral, FL 33990 Phone: 239-458-1131 | |
David Flecha, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1839 Hancock Brg Pkwy, Cape Coral, FL 33990 Phone: 239-603-5255 | |
Dr. Thomas S Pham, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2489 Diplomat Pkwy E, Cape Coral, FL 33909 Phone: 239-652-1800 Fax: 248-655-0372 | |
Dr. Fred Tarry Creech Iii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 304 Del Prado Blvd S, Unit C, Cape Coral, FL 33990 Phone: 239-458-1700 Fax: 239-458-1887 |