James Philip Van Decar M.D.

NPI 1083604052 - Pediatrics - 2080P0008X

NPI Details
NPI 1083604052
Gender Male
Enumeration Date 10/21/2005
Last Updated 10/03/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
307 BOATNER RD STE 114
EGLIN AFB FL, 32542-1302, US
Phone (850) 883-8780
Fax
Business Location
307 BOATNER RD STE 114
EGLIN AFB FL, 32542-1302, US
Phone
Fax
Toxanomy
Taxonomy Code 2080P0008X
License State Florida
License Number ME 106290
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According to our database, Dr. James Philip Van Decar M.D. NPI is 1083604052, taxonomy code is 2080P0008X and license number is ME 106290, license state is located at Florida. James Philip Van Decar M.D. physically located at 307 Boatner Rd Ste 114, Eglin Afb FL, 32542-1302. NPI Number James Philip Van Decar M.D. has the Individual type.

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1083604052 NPI number is provided on an as is basis without warranty of any kind. 1083604052 is maintained by the National Plan & Provider Enumeration System. The contents of James Philip Van Decar M.D. are for informational purposes only.