Individual
DAVID MIGUEL MALCOLM DEPESTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-PMHNP
Contact information
Practice address
9740 N 56TH ST STE B, TEMPLE TERRACE, FL 33617-5500
(813) 200-7717
(813) 985-8500
Mailing address
7408 MEADOW DR, TAMPA, FL 33634-2934
(786) 416-3807
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11028306
FL
363LP2300X
Primary Care Nurse Practitioner
11028306
FL
Other
Enumeration date
12/18/2018
Last updated
01/20/2026
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