Depodesta, Craig

Depodesta, Craig is an individual health care provider with primary practice located at 231B Commercial Blvd , Lauderdale By The Sea FL 33308-4441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Depodesta, Craig can be contacted via phone (954) 530-1600.

Contact Information

Primary practice address
231B Commercial Blvd Lauderdale By The Sea FL 33308-4441
Phone: (954) 530-1600
Fax: (954) 306-8234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8042 Florida

Profile Details

NPI number 1497750376
LBN Legal business name Depodesta, Craig
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 5th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497750376 NPPES
Florida MEDICAID 261110400

Popular Providers