Anthony Decotis, M.D.,P.A.

LBN: Anthony Decotis, M.D.,P.A.
Anthony Decotis, M.D.,P.A. is an health care organization with primary practice located at 131 Beal Pkwy Nw , Fort Walton Beach FL 32548-4358. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Anthony Decotis, M.D.,P.A. can be contacted via phone (850) 243-8558, or through Decotis, Anthony via phone (850) 243-8558.

Contact Information

Primary practice address
131 Beal Pkwy Nw Fort Walton Beach FL 32548-4358
Phone: (850) 243-8558
Fax: (850) 301-0147
Website:
Map and Directions
Authorized official contact:
Name: Decotis, Anthony Doctor of Medicine (MD)
Phone: (850) 243-8558

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME45093 Florida

Profile Details

NPI number 1881930857
LBN Legal business name Anthony Decotis, M.D.,P.A.
DBA Doing business as
Authorized official Decotis, Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2012
Last updated Dec 19th, 2012 - about 14 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 1881930857 NPPES
Florida MEDICAID 047222100
Florida Other 17617

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