| David Miguel Malcolm Depestre, APRN-PMHNP | |
|
9740 N 56th St Ste B, Temple Terrace, FL 33617-5500 | |
| (813) 200-7717 | |
| (813) 985-8500 |
| Full Name | David Miguel Malcolm Depestre |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 9740 N 56th St Ste B, Temple Terrace, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457823353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11028306 (Florida) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 11028306 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orlando Family Physicians Llc | 0749226439 | 77 |
| Trinity Medical Physicians Llc | 9234554643 | 20 |
| Entity Name | Orlando Family Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568563187 PECOS PAC ID: 0749226439 Enrollment ID: O20050705000200 |
| Entity Name | Treasure Coast Medical Centers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710723721 PECOS PAC ID: 2769905975 Enrollment ID: O20250328001066 |
| Mailing Address | Practice Location Address |
|---|---|
| David Miguel Malcolm Depestre, APRN-PMHNP 7408 Meadow Dr, Tampa, FL 33634-2934 Ph: (786) 416-3807 | David Miguel Malcolm Depestre, APRN-PMHNP 9740 N 56th St Ste B, Temple Terrace, FL 33617-5500 Ph: (813) 200-7717 |
Ofelia Maria Chou, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 Phone: 813-871-8183 Fax: 813-871-8184 | |
Viviane L Goncalves, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 303-261-7664 | |
Ms. Tracy L Czop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 888-977-1998 | |
Ashley Nichole Christie, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 Fax: 843-790-1953 | |
Shawna Lord, MS, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 | |
Mischa Nicole Tice, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 228-363-4729 | |
Amanda Parker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5205 E Fletcher Ave, Temple Terrace, FL 33617 Phone: 813-987-2911 Fax: 813-987-2853 |