Individual
GABRIEL ANTHONY DECANDIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8005 ULMERTON ROAD, LARGO, FL 33771
(727) 536-0441
(727) 532-4861
Mailing address
PO BOX 2056, LARGO, FL 33779-2056
(727) 536-0441
(727) 532-4861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0039740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62385
BCBS
—
Enumeration date
08/24/2006
Last updated
07/08/2007
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