Decesare, Gary Edward

Decesare, Gary Edward is an sole proprietor health care provider with primary practice located at 311 N Clyde Morris Blvd Ste 500 , Daytona Beach FL 32114-2768. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Decesare, Gary Edward can be contacted via phone (386) 238-2244.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Ste 500 Daytona Beach FL 32114-2768
Phone: (386) 238-2244
Fax: (386) 239-2381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME123142 Florida

Profile Details

NPI number 1093941635
LBN Legal business name Decesare, Gary Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Aug 23rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093941635 NPPES
Florida MEDICAID PENDING

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