JOHN DISTASIO

FORT MYERS, FL
NPI1457351611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME57595)
Enumeration Date2005-07-28
Last Update Date2021-03-25
Business Address
JOHN DISTASIO M.D.
4751 S CLEVELAND AVE
FORT MYERS, FL 33907
Phone number: 239-343-9888
Mailing Address
JOHN DISTASIO M.D.
PO BOX 2147
FT MYERS, FL 33902-2147
Phone number: 239-343-9888
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