institution
Phillip D.decubellis Pa
Foot & Ankle Surgery Podiatrist in Fort Lauderdale, Florida
NPI 1730239575

Phillip D.decubellis Pa is a Foot & Ankle Surgery Podiatrist based in Fort Lauderdale, FL and is specialized in Foot & Ankle Surgery. Phillip D.decubellis Pa practices in Fort Lauderdale, FL. The NPI Number for Phillip D.decubellis Pa is 1730239575 and holds a License No. (Florida).

The current practice location address for Phillip D.decubellis Pa is 2828 E Commercial Blvd, Fort Lauderdale, FL and can be reached out via phone at 954-776-5700 and via fax at 954-776-5701. You can also correspond with Phillip D.decubellis Pa through the mailing address at 2828 E COMMERCIAL BLVD, FORT LAUDERDALE, FL - 33308-4206 (mailing address contact number: 954-776-5700).

Location: 2828 E Commercial Blvd, Fort Lauderdale, FL, 33308-4206
institution
Provider Profile Details
NPI Number
1730239575
Provider Name
Phillip D.decubellis Pa
Credential
Provider Entity Type
Organization
Address
2828 E Commercial Blvd, Fort Lauderdale, FL, 33308-4206
Phone Number
954-776-5700
Fax Number
954-776-5701
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
390494600 05 FL
K1117 01 FL PTAN
institution
Provider Business Practice Location Address Details
Address
2828 E Commercial Blvd
City
State
Zip
33308-4206
Phone Number
954-776-5700
Fax Number
954-776-5701
person
Provider Business Mailing Address Details
Address
2828 E Commercial Blvd
City
State
Zip
33308-4206
Phone Number
954-776-5700
Fax Number
954-776-5701
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
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Definition
Definition to come...
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