John Decerce in Starke - Neurology

John Decerce - NPI 1497724421

John Decerce is a Neurology in Starke, Florida. John Decerce practices all healthcare services and medical treatments related to Neurology. The NPI Number for John Decerce is 1497724421. The last update date is 2012-05-03.

John Decerce's current location address is 107 Edwards Rd, Starke, Florida. You can contact this provider via phone number 9043688111 and fax number 9043688103. The mailing address for John Decerce is 107 Edwards Rd, Starke, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John Decerce
Address 107 Edwards Rd, Starke, Florida
Phone Number 9043688111
Fax Number 9043688103
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1497724421
Provider Enumeration Date 2006-03-14
Last Updated Date 2012-05-03

Provider Mailing Address Detail

Address 107 Edwards Rd
City Starke
State Florida (FL)
Post Code 320913959
Phone Number 9043688111
Fax Number 9043688103

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No ME68599
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2620120-00 FL --
000912315A GA --

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FAQs about John Decerce

What is the unique 10-digit identifier code assigned to John Decerce by the Centers for Medicare & Medicaid Services?

The John Decerce has been issued the NPI (National Provider Identifier) 1497724421 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where John Decerce's facilities are situated?

The facilities of John Decerce are physically located at the following address: 107 Edwards Rd, Starke, FL, 320913959.

What is John Decerce's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Decerce's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497724421 to John Decerce?

The John Decerce received its 1497724421 assignment from the Centers for Medicare & Medicaid Services on 2006-03-14.

When was the information regarding John Decerce, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Decerce, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-03.

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