Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Distasio, MD

Individual provider Pediatrics Physician · NPI 1457351611

John Distasio, MD is a Pediatric Medicine in Fort Myers, Florida. Graduated from University of Miami, Lm Miller School of Medicine in 1985, 41 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
41
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4751 S Cleveland Ave
Fort Myers, FL 33907
Phone: (239) 343-9888
Fax: (239) 343-9868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 — (239) 343-9800

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME57595 (FL)

Record details

NPI number1457351611
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing addressPo Box 2147, Ft Myers, FL 33902-2147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Myers