Individual
TAMA VAN DECAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-8737
Mailing address
128 WINDING WATERS WAY, NICEVILLE, FL 32578-1634
(850) 678-7263
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301058803
MI
Other
Enumeration date
04/26/2006
Last updated
02/23/2009
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