Craig Depodesta, DO, PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS8042 Issued in FL

Legal business name

CRAIG DEPODESTA, DO, PA

Practice address

231B Commercial Blvd
Lauderdale by the Sea, FL 33308-4441

Phone

(954) 530-1600

Fax

(954) 306-8234

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Criag R Depodesta, D.O.

Title

Owner

Phone

(954) 530-1600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1649537754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330610132",
            "telephone_number": "954-530-1600",
            "fax_number": "954-306-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231B COMMERCIAL BLVD",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084441",
            "telephone_number": "954-530-1600",
            "fax_number": "954-306-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG DEPODESTA, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "DEPODESTA",
        "authorized_official_first_name": "CRIAG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-530-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS8042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriam Cyndy Cherubin
• Ashley Chess, PHARMD
• Jeannine Pearce Clark
• Jordan Clayborne, PT
• Clint C Comunale, LCSW
• Mark A Curatolo
• Curemed
• Lillian Marie Decosimo, M.D.
• William D Demartini, ED.D.
• Craig Depodesta, D.O.

• General Practice Physician in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.