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Individual

DR. DAVID ANDREW DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(786) 868-0012

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME100336
FL
2084V0102X
Vascular Neurology Physician
ME100336
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000906400
FL
01
145RU
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/25/2006
Last updated
03/18/2024
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