MEDICARE: DR. JOHN B DECOSMO DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS5534	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396721221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN B DECOSMO DO

Provider Business Mailing Address
First Line	:	4800 4TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33703-3817
Country	:	US
Telephone Number	:	727-498-6488
Fax Number	:	727-362-6772

Provider Business Practice Location Address
First Line	:	4800 4TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33703-3817
Country	:	US
Telephone Number	:	727-698-2056
Fax Number	:	727-541-3956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	03/05/2025

Similar Medicare Providers

1104975739 — DR. DIANNE MICHELLE FERNANDEZ D.C.
Practice Location Address:

4800 4TH ST N
SAINT PETERSBURG, FL
33703-3817

Practice Phone: 727-528-1133
Practice Fax: 727-527-3750

1750424255 — DR DIANNE M FERNANDEZ AND ASSOCIATES PA
Practice Location Address:

4800 4TH ST N
SAINT PETERSBURG, FL
33703-3817

Practice Phone: 727-528-1133
Practice Fax: 727-527-3750

1851702880 — DR. ALEX ZANE MORGAN D.C.
Practice Location Address:

4800 4TH ST N
SAINT PETERSBURG, FL
33703-3817

Practice Phone: 727-528-1133
Practice Fax: 727-527-3750

1801864145 — DVA RENAL HEALTHCARE, INC.
Practice Location Address:

2850 34TH ST S
SAINT PETERSBURG, FL
33711-3817

Practice Phone: 727-864-4050
Practice Fax: 727-864-0013

1639176647 — DR. SAMUEL ROBERT MEYERS DC
Practice Location Address:

4800 4TH ST N
ST PETERSBURG, FL
33703-3817

Practice Phone: 727-528-1133
Practice Fax: 727-527-3750

1720197395 — ANNEGIEN MARIA STURM PT
Practice Location Address:

4800 4TH ST N
ST PETERSBURG, FL
33703-3817

Practice Phone: 727-528-1133
Practice Fax:

Directions to “ DR. JOHN B DECOSMO DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.