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DR. CRAIG DEPODESTA D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1497750376

Individual Registrant:
DR. CRAIG  DEPODESTA D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
231B COMMERCIAL BLVD  LAUDERDALE BY THE SEA, FL 33308-4441 US
Tel: 954-530-1600  Fax: 954-306-8234

Contact information for business:
PO BOX 132  POMPANO BEACH, FL 33061-0132 US
Tel: 954-530-1600  Fax: 954-306-8234

Registration Information:
NPI: 1497750376
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FLOS8042

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
261110400FL05




HEALTH CARE JOBS FL - Page 1



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