Phillip D Decubellis, DPM

NPI #1568451813 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1568451813
Entity Type: Individual
Name: Phillip D Decubellis, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Oct 19, 2005
Last Updated: Dec 3, 2013

Practice Location

Address: 2828 E COMMERCIAL BLVD
City: Ft Lauderdale
State: Florida
ZIP Code: 33308-4206
Phone: (954) 776-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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