Antonio J Decarli, M.D.

LBN: Ajd Medical Llc
Antonio J Decarli, M.D. is an health care organization with primary practice located at 612 Palmetto St , New Smyrna Beach FL 32168-7327. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ajd Medical Llc can be contacted via phone (386) 423-5500, or through Decarli, Antontio J via phone (386) 423-5500.

Contact Information

Primary practice address
612 Palmetto St New Smyrna Beach FL 32168-7327
Phone: (386) 423-5500
Fax: (386) 409-9762
Website:
Map and Directions
Authorized official contact:
Name: Decarli, Antontio J Doctor of Medicine (MD)
Phone: (386) 423-5500

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1386887230
LBN Legal business name Ajd Medical Llc
DBA Doing business as Antonio J Decarli, M.D.
Authorized official Decarli, Antontio J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2009
Last updated Aug 12th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386887230 NPPES
Florida MEDICAID 000749600

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