Provider Demographics
NPI:1710958970
Name:SAEVA, JOHN T (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:SAEVA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10221 US HIGHWAY 98 W
Mailing Address - Street 2:STE 19
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32550-4967
Mailing Address - Country:US
Mailing Address - Phone:850-650-6492
Mailing Address - Fax:850-650-2178
Practice Address - Street 1:10221 US HIGHWAY 98 W
Practice Address - Street 2:STE 19
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32550-4967
Practice Address - Country:US
Practice Address - Phone:850-650-6492
Practice Address - Fax:850-650-2178
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2452213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4202560001Medicare NSC
FLT21014Medicare UPIN