MEDICARE: JOHN T. SAEVA, D.P.M., P.A.

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	213ES0103X	Foot & Ankle Surgery Podiatrist
2	213E00000X	Podiatrist

General Provider Information

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

Provider Business Mailing Address
First Line	:	10221 US HIGHWAY 98 W
Second Line	:	SUITE 19
City	:	DESTIN
State	:	FL
Zip	:	32550-4967
Country	:	US
Telephone Number	:	850-650-6492
Fax Number	:	850-650-2178

Provider Business Practice Location Address
First Line	:	10221 US HIGHWAY 98 W
Second Line	:	SUITE 19
City	:	DESTIN
State	:	FL
Zip	:	32550-4967
Country	:	US
Telephone Number	:	850-650-6492
Fax Number	:	850-650-2178

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN T SAEVA
Credential	:	D.P.M.
Telephone Number	:	850-650-6492

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	02/14/2008

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