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Individual

DR. DAVID A DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2501 N ORANGE AVE, SUITE 249, ORLANDO, FL 32804-4603
(407) 303-2770
Mailing address
2501 N ORANGE AVE, SUITE 249, ORLANDO, FL 32804-4603
(407) 303-2770

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
4301041127
MI
207RX0202X
Medical Oncology Physician
Primary
ME106907
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102828550
MI
Enumeration date
03/24/2006
Last updated
02/20/2013
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