Healthcare Provider Details

I. General information

NPI: 1942478789
Provider Name (Legal Business Name): JOHN T. SAEVA, D.P.M., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10221 US HIGHWAY 98 W SUITE 19
DESTIN FL
32550-4967
US

IV. Provider business mailing address

10221 US HIGHWAY 98 W SUITE 19
DESTIN FL
32550-4967
US

V. Phone/Fax

Practice location:
  • Phone: 850-650-6492
  • Fax: 850-650-2178
Mailing address:
  • Phone: 850-650-6492
  • Fax: 850-650-2178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN T SAEVA
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 850-650-6492