Destephano, Don Bernard

Destephano, Don Bernard is an individual health care provider with primary practice located at 1 Shircliff Way Dept Of Pathology, Jacksonville FL 32204-4748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Destephano, Don Bernard can be contacted via phone (904) 308-3803.

Contact Information

Primary practice address
1 Shircliff Way Dept Of Pathology Jacksonville FL 32204-4748
Phone: (904) 308-3803
Fax: (904) 308-2970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME53628 Florida

Profile Details

NPI number 1518014695
LBN Legal business name Destephano, Don Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Oct 9th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518014695 NPPES
Florida MEDICAID 064755100

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