Individual
DR. LILLIAN MARIE DECOSIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5200 N OCEAN BLVD APT 706, LAUDERDALE BY THE SEA, FL 33308-3018
(703) 859-5225
(844) 898-2182
Mailing address
5200 N OCEAN BLVD APT 706, LAUDERDALE BY THE SEA, FL 33308-3018
(703) 859-5225
(844) 898-2182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101053044
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME131219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024734400
—
FL
05
—
6201547
—
VA
Enumeration date
01/26/2006
Last updated
09/04/2025
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