JOHN DISTASIO, M.D.

Pediatrics

Active Individual
NPI: 1457351611

Practice Address

4751 S CLEVELAND AVE
Fort Myers, FL 33907

Phone: (239) 343-9888

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes ME57595 (FL)

Frequently Asked Questions

NPI 1457351611 is the National Provider Identifier for JOHN DISTASIO, M.D., a Pediatrics provider located in Fort Myers, FL. This NPI was enumerated on July 28, 2005.
JOHN DISTASIO, M.D. practices at 4751 S CLEVELAND AVE, Fort Myers, FL 33907.

Quick Facts

NPI
1457351611
Type
Individual
Enumerated
Jul 28, 2005
Last Updated
Mar 25, 2021

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