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

Kevin J Desantis, MD

Individual provider Emergency Medicine Physician · NPI 1255353595

Kevin J Desantis, MD is an Emergency Medicine in Port Charlotte, Florida. Graduated from New York Medical College in 1987, 39 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
39
Trained at
New York Medical College
Licensed in
FL
In the registry since
2006
Specialties on file
2
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

1912 Kings Hwy Unit 700
Port Charlotte, FL 33980-4305
Phone: (941) 255-0032
Fax: (941) 391-5213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 — (941) 624-2704

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME58093 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence ME58093 (FL)

Record details

NPI number1255353595
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1987 (39 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

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