Decotis, Anthony

Decotis, Anthony is an individual health care provider with primary practice located at 131 Beal Pkwy Nw , Fort Walton Beach FL 32548-4358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Decotis, Anthony can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME00045093 Florida

Profile Details

NPI number 1669435038
LBN Legal business name Decotis, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Sep 18th, 2007 - about 17 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 1669435038 NPPES
Florida MEDICAID 047222100

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