Individual
PHILLIP D DECUBELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2828 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4206
(954) 776-5700
Mailing address
2828 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4206
(954) 776-5700
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052057800
—
FL
Enumeration date
10/19/2005
Last updated
12/03/2013
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