Individual
JOHN DISTASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4751 S CLEVELAND AVE, FORT MYERS, FL 33907
(239) 343-9888
(239) 343-9868
Mailing address
PO BOX 2147, FT MYERS, FL 33902-2147
(239) 343-9888
(239) 343-9868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME57595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063826900
—
FL
Enumeration date
07/28/2005
Last updated
03/25/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us