Decubellis, Phillip D
Decubellis, Phillip D is an sole proprietor health care provider with primary practice located at 2828 E Commercial Blvd , Ft Lauderdale FL 33308-4206. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Decubellis, Phillip D can be contacted via phone (954) 776-5700.Contact Information
Primary practice address
2828 E Commercial Blvd
Ft Lauderdale FL 33308-4206
Phone: (954) 776-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO1934 | Florida |
Profile Details
| NPI number | 1568451813 |
|---|---|
| LBN Legal business name | Decubellis, Phillip D |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Dec 3rd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568451813 | NPPES |
| Florida | MEDICAID | 052057800 |
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