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Individual

DR. STEVEN DECESARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1545 AIRPORT BLVD, PENSACOLA, FL 32504-8615
(850) 416-7101
(850) 416-7103
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 416-7101
(850) 416-7103

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME58930
FL
207VX0201X
Gynecologic Oncology Physician
Primary
ME58930
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
053491300
FL
Enumeration date
05/16/2006
Last updated
01/06/2012
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