Individual
JOHN DECERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 EDWARDS RD, SUITE F, STARKE, FL 32091-3959
(904) 368-8111
(904) 368-8103
Mailing address
107 EDWARDS RD, SUITE F, STARKE, FL 32091-3959
(904) 368-8111
(904) 368-8103
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME68599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000912315A
—
GA
05
—
2620120-00
—
FL
Enumeration date
03/14/2006
Last updated
08/22/2025
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