Decker, Jamie Andrew

Decker, Jamie Andrew is an individual health care provider with primary practice located at 601 5Th St S 2Nd Floor, St Petersburg FL 33701-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Decker, Jamie Andrew can be contacted via phone (727) 767-3333.

Contact Information

Primary practice address
601 5Th St S 2Nd Floor St Petersburg FL 33701-4804
Phone: (727) 767-3333
Fax: (727) 767-8990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME10962 Florida

Profile Details

NPI number 1124262027
LBN Legal business name Decker, Jamie Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2009
Last updated Sep 25th, 2012 - about 12 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 1124262027 NPPES
Florida MEDICAID 003152200
Florida Other EP862F

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