John Distasio, M.D.
NPI #1457351611 in Fort Myers, Florida
Provider Information
- NPI Number
- 1457351611
- Entity Type
- Individual
- Name
- John Distasio, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- M.D.
- Enumeration Date
- Jul 28, 2005
- Last Updated
- Mar 25, 2021
Practice Location
- Address
- 4751 S CLEVELAND AVE
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33907
- Phone
- (239) 343-9888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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