Gabriel a Decandido PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME39740 Issued in FL

Legal business name

GABRIEL A DECANDIDO PA

Practice address

8005 Ulmerton Rd
Largo, FL 33771-3971

Phone

(727) 536-0441

Fax

(727) 535-1985

NPI assigned

Nov 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Melissa A McLain

Title

Billing Manager

Phone

(727) 536-0441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Ann Dziubinski, ARNP

  • Family Nurse Practitioner
  • Seminole, FL
  • NPI 1053309955
  NPD (past)
• Joseph Dominic Willis, ARNP

  • Nurse Practitioner
  • St Petersburg, FL
  • NPI 1619082252
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1841470952",
    "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": "727-535-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713971",
            "telephone_number": "727-536-0441",
            "fax_number": "727-535-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL A DECANDIDO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "727-536-0441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME39740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068744800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fulton Home Care Services LLC
• Sarah Funk, MS RD LD/N
• Future Optics Inc.
• G.R. Services Equipment & Supplies Inc.
• Kieran M Gabel
• Arleen Gacet
• Shayne Marie Gadea, MD
• Elizabeth Ann Gaffney
• Ivana Gagula-Latham, D.O.
• Shiv Brij Gakhar, DO

• Family Medicine Physician in Largo, FL
• Providers in Largo, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.