Gabriel A Decandido Pa

LBN: Gabriel A Decandido Pa
Gabriel A Decandido Pa is an health care organization with primary practice located at 8005 Ulmerton Rd , Largo FL 33771-3971. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gabriel A Decandido Pa can be contacted via phone (727) 536-0441, or through Mclain, Melissa A via phone (727) 536-0441.

Contact Information

Primary practice address
8005 Ulmerton Rd Largo FL 33771-3971
Phone: (727) 536-0441
Fax: (727) 535-1985
Website:
Map and Directions
Authorized official contact:
Name: Mclain, Melissa A
Phone: (727) 536-0441

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME39740 Florida

Profile Details

NPI number 1841470952
LBN Legal business name Gabriel A Decandido Pa
DBA Doing business as
Authorized official Mclain, Melissa A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2007
Last updated Jan 22nd, 2008 - about 16 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 1841470952 NPPES
Florida MEDICAID 068744800

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