Phillip D Decubellis in Ft Lauderdale - Podiatrist
Phillip D Decubellis - NPI 1568451813
Phillip D Decubellis is a Podiatrist in Ft Lauderdale, Florida. Phillip D Decubellis practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Phillip D Decubellis is 1568451813. The last update date is 2013-12-03.
Phillip D Decubellis's current location address is 2828 E Commercial Blvd, Ft Lauderdale, Florida. You can contact this provider via phone number 9547765700. The mailing address for Phillip D Decubellis is 2828 E Commercial Blvd, Ft Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip D Decubellis |
|---|---|
| Address | 2828 E Commercial Blvd, Ft Lauderdale, Florida |
| Phone Number | 9547765700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1568451813 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2013-12-03 |
Provider Mailing Address Detail
| Address | 2828 E Commercial Blvd |
|---|---|
| City | Ft Lauderdale |
| State | Florida (FL) |
| Post Code | 333084206 |
| Phone Number | 9547765700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO1934 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52057800 | FL | -- |
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What is the unique identification code assigned to Phillip D Decubellis by the Centers for Medicare & Medicaid Services?
The Phillip D Decubellis has been issued the NPI (National Provider Identifier) 1568451813. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Phillip D Decubellis is geographically located?
The Phillip D Decubellis is physically situated at the following location: 2828 E Commercial Blvd, Ft Lauderdale, FL, 333084206.
What is the Phillip D Decubellis's specialty and taxonomy code?
The Phillip D Decubellis's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date was the 1568451813 assigned to Phillip D Decubellis?
The Phillip D Decubellis was issued its 1568451813 on 2005-10-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Phillip D Decubellis most recently updated?
The details pertaining to the Phillip D Decubellis, including its address, specialty, and other relevant information, were last refreshed on 2013-12-03.
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