| Gabriel A Decandido Pa | |
|
8005 Ulmerton Rd Largo FL 33771-3971 | |
| (727) 536-0441 | |
| (727) 535-1985 |
| Full Name | Gabriel A Decandido Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8005 Ulmerton Rd, Largo, Florida |
| Authorized Official Name and Position | Melissa A Mclain (BILLING MANAGER) |
| Authorized Official Contact | 7275360441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel A Decandido Pa Po Box 2056 Largo FL 33779-2056 Ph: (727) 536-0441 | Gabriel A Decandido Pa 8005 Ulmerton Rd Largo FL 33771-3971 Ph: (727) 536-0441 |
| NPI Number | 1841470952 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841470952 | NPI | - | NPPES |
| 068744800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME39740 (Florida) | Primary |
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