Decapua, Ralph Thomas

Decapua, Ralph Thomas is an individual health care provider with primary practice located at 1950 Arlington St Ste 310 , Sarasota FL 34239-3513. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Decapua, Ralph Thomas can be contacted via phone (941) 917-6300.

Contact Information

Primary practice address
1950 Arlington St Ste 310 Sarasota FL 34239-3513
Phone: (941) 917-6300
Fax: (941) 917-6306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101882 Florida

Profile Details

NPI number 1275533507
LBN Legal business name Decapua, Ralph Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 26th, 2019 - about 5 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 1275533507 NPPES
Florida MEDICAID 291242200

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