Provider Demographics
NPI:1942478789
Name:JOHN T. SAEVA, D.P.M., P.A.
Entity Type:Organization
Organization Name:JOHN T. SAEVA, D.P.M., P.A.
Other - Org Name:DESTIN PODIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SAEVA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:850-650-6492
Mailing Address - Street 1:10221 US HIGHWAY 98 W
Mailing Address - Street 2:SUITE 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:SUITE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT21014Medicare UPIN
FL4202560001Medicare NSC