Individual
JAMIE ANDREW DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 5TH ST S, 2ND FLOOR, ST PETERSBURG, FL 33701-4804
(727) 767-3333
(727) 767-8990
Mailing address
601 5TH ST S, 2ND FLOOR, ST PETERSBURG, FL 33701-4804
(727) 767-6666
(727) 767-8990
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME10962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003152200
—
FL
01
—
EP862F
MEDICARE ID NUMBER
FL
Enumeration date
04/23/2009
Last updated
09/25/2012
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