Individual provider Active NPI

David Miguel Malcolm Depestre, APRN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1457823353
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11028306 Issued in FL
Practice address
9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500
Phone
(813) 200-7717
Fax
(813) 985-8500
NPI assigned
Dec 18, 2018
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11028306 FL Primary
Primary Care Nurse Practitioner 363LP2300X 11028306 FL

Addresses

Primary practice location

9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500

Mailing address

7408 Meadow Dr
Tampa, FL 33634-2934
Phone (786) 416-3807

Other names 1

  • David Miguel Malcolm Depestre Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328001310 FL Practitioner - Nurse Practitioner 9931622149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Medical Physicians LLCGroup PAC ID 9234554643, 30 clinicians
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

Practice addresses (Care Compare)

3240 S Florida Ave
Suite 105
Lakeland, FL 33803-4574
Phone (863) 644-7337

9740 N 56TH St
Suite B
Temple Terrace, FL 33617-5500
Phone (813) 200-7717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11028306FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Mind Center LLC CurrentSince Oct 2, 2025 Accepting new patients
Trinity Medical Physicians, LLC CurrentSince Aug 15, 2025 Accepting new patients
Orlando Family Physicians, LLC CurrentSince Apr 7, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

8614 State Road 70 E
Ste 200
Bradenton, FL 34202
Phone (941) 727-1243

908 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 442-5138

3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Ste 105
Lakeland, FL 33803
Phone (863) 644-7337

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

13045 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 672-1385

7101 Park St
Seminole, FL 33777
Phone (727) 397-1559

5051 66th St N
St Petersburg, FL 33709
Phone (727) 800-6708

3264 Cove Bend Dr
Tampa, FL 33613
Phone (813) 632-9253

8408 N Grady Ave
Tampa, FL 33614
Phone (813) 885-9091

9740 N 56th St
Ste B
Temple Terrace, FL 33617
Phone (813) 200-7717

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: david.malcolm.depestre.1@27472.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1457823353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 MEADOW DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342934",
            "telephone_number": "786-416-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 N 56TH ST STE B",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175500",
            "telephone_number": "813-200-7717",
            "fax_number": "813-985-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM DEPESTRE",
        "first_name": "DAVID",
        "middle_name": "MIGUEL",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11028306",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11028306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "MALCOLM DEPESTRE",
            "middle_name": "MIGUEL",
            "credential": "ARNP-PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.