Individual
JOANNE ISABELLE DECADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
212 E MAIN ST, TAVARES, FL 32778-3808
(079) 058-8274
(407) 905-8998
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 905-8998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME145555
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106668500
—
FL
Enumeration date
03/27/2017
Last updated
06/03/2022
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