Phillip D.Decubellis Pa

LBN: Phillip D.Decubellis Pa
Phillip D.Decubellis Pa is an health care organization with primary practice located at 2828 E Commercial Blvd , Fort Lauderdale FL 33308-4206. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Phillip D.Decubellis Pa can be contacted via phone (954) 776-5700, or through Decubellis, Phillip D via phone (954) 776-5700.

Contact Information

Primary practice address
2828 E Commercial Blvd Fort Lauderdale FL 33308-4206
Phone: (954) 776-5700
Fax: (954) 776-5701
Website:
Map and Directions
Authorized official contact:
Name: Decubellis, Phillip D Doctor of Podiatric Medicine (DPM)
Phone: (954) 776-5700

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1730239575
LBN Legal business name Phillip D.Decubellis Pa
DBA Doing business as
Authorized official Decubellis, Phillip D Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Jan 2nd, 2014 - about 12 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 1730239575 NPPES
Florida MEDICAID 390494600
Florida Other K1117

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