| Craig Depodesta, Do, Pa | |
|
231b Commercial Blvd Lauderdale By The Sea FL 33308-4441 | |
| (954) 530-1600 | |
| (954) 306-8234 |
| Full Name | Craig Depodesta, Do, Pa |
|---|---|
| Speciality | General Practice |
| Location | 231b Commercial Blvd, Lauderdale By The Sea, Florida |
| Authorized Official Name and Position | Criag R Depodesta (OWNER) |
| Authorized Official Contact | 9545301600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Depodesta, Do, Pa Po Box 132 Pompano Beach FL 33061-0132 Ph: (954) 530-1600 | Craig Depodesta, Do, Pa 231b Commercial Blvd Lauderdale By The Sea FL 33308-4441 Ph: (954) 530-1600 |
| NPI Number | 1649537754 |
|---|---|
| Provider Enumeration Date | 04/13/2012 |
| Last Update Date | 08/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649537754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS8042 (Florida) | Primary |
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