Lillian Marie Decosimo in Miami - Specialist
Lillian Marie Decosimo - NPI 1336119783
Lillian Marie Decosimo is a Specialist in Miami, Florida. Lillian Marie Decosimo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lillian Marie Decosimo is 1336119783. The last update date is 2020-04-22.
Lillian Marie Decosimo's current location address is 3100 Sw 62nd Ave, Miami, Florida. You can contact this provider via phone number 7866243509 and fax number 8448982182. The mailing address for Lillian Marie Decosimo is 3100 Sw 62nd Ave, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lillian Marie Decosimo |
|---|---|
| Address | 3100 Sw 62nd Ave, Miami, Florida |
| Phone Number | 7866243509 |
| Fax Number | 8448982182 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336119783 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2020-04-22 |
Provider Mailing Address Detail
| Address | 3100 Sw 62nd Ave |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331553009 |
| Phone Number | 7866243509 |
| Fax Number | 8448982182 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101053044 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24734400 | FL | -- | |
| 6201547 | VA | -- |
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What is the Lillian Marie Decosimo's 1336119783?
The Lillian Marie Decosimo's NPI (National Provider Identifier) Number is 1336119783. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lillian Marie Decosimo located?
The Lillian Marie Decosimo is located at 3100 Sw 62Nd Ave, Miami, FL 331553009.
What is the Lillian Marie Decosimo's area of specialization and corresponding taxonomy classification?
The Lillian Marie Decosimo's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date was the 1336119783 assigned to Lillian Marie Decosimo?
The Lillian Marie Decosimo was issued its 1336119783 on 2006-01-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lillian Marie Decosimo's details last updated?
The information pertaining to the Lillian Marie Decosimo, including its address, specialty, and other details, was most recently updated on 2020-04-22.