Individual
BETH ANN DECORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1421 MALABAR RD NE, PALM BAY, FL 32907-2576
(321) 434-8531
(321) 434-8533
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8531
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9433193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019314300
—
FL
01
—
IU177Z
MEDICARE HF
FL
Enumeration date
02/21/2013
Last updated
07/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us