Active NPI
Gabriel Anthony Decandido, MD
- Family Medicine Physician
- Largo, FL
National Provider Identifier
1710094784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0039740
- Practice address
- 8005 Ulmerton Road
Largo, FL 33771 - Phone
- (727) 536-0441
- Fax
- (727) 532-4861
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0039740 | FL | Primary |
Addresses
Primary practice location
8005 Ulmerton Road
Largo, FL 33771
Mailing address
PO Box 2056
Largo, FL 33779-2056
Phone (727) 536-0441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62385 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0039740 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710094784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2056",
"city": "LARGO",
"state": "FL",
"postal_code": "337792056",
"telephone_number": "727-536-0441",
"fax_number": "727-532-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8005 ULMERTON ROAD",
"city": "LARGO",
"state": "FL",
"postal_code": "33771",
"telephone_number": "727-536-0441",
"fax_number": "727-532-4861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECANDIDO",
"first_name": "GABRIEL",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0039740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "62385",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
- Kimberly A Dean, DO
- Desiree Deangelo
- Deborah a Burke MD PLC
- Deborah Bloome, Psy.D. PA
- Debra Hemsath, M.D., P.a.
- Decision One Health, LLC
- Deck V, LLC
- Dedicated Senior Medical Center of Florida, LLC
- Dedicated Senior Medical Centers of Florida, LLC (Dedicated Senior Medical Center West Largo)
- James E Defoe, MD P A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.