NPI 1255353595

Kevin J Desantis, MD

Practitioner General Practice Physician Port Charlotte, FL

Practice location

Address: 1912 Kings Hwy Unit 700, Port Charlotte, FL 33980-4305
Phone: (941) 255-0032
Fax: (941) 391-5213
Mailing address: 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence ME58093 (FL)

Other General Practice providers in Florida →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence ME58093 (FL)

Other Emergency Medicine providers in Florida →

Registry record

NPI: 1255353595
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2006
Record last updated: 3 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.