Individual
DR. ANTHONY DECOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 BEAL PKWY NW, FORT WALTON BEACH, FL 32548-4358
(850) 243-8558
(850) 301-0147
Mailing address
131 BEAL PKWY NW, FORT WALTON BEACH, FL 32548-4358
(850) 243-8558
(850) 301-0147
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME00045093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047222100
—
FL
Enumeration date
04/07/2006
Last updated
09/18/2007
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