Individual
DR. ANDREW MICHAEL DEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2011 HARRISON AVE, PANAMA CITY, FL 32405-4545
(850) 691-4188
(833) 687-1451
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(844) 261-6839
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS19178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116888100
—
FL
01
—
QC496
MEDICARE
FL
Enumeration date
04/27/2012
Last updated
03/06/2023
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