Dr. Gary Alfred Decker
Internist Internist - Addiction Medicine
3627 University Blvd S Suite 415
Jacksonville
, Florida 32216-4230
Dr. Gary Alfred Decker
Internist Internist - Addiction Medicine
3627 University Blvd S Suite 415
Jacksonville
, Florida 32216-4230
(904) 308-3697
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Gary Alfred Decker
- Po Box 61148
- Jacksonville, FL
- Zip : 32236-1148
- Fax : (904) 308-3697
- Phone : (904) 308-3696
Second Address
- Dr. Gary Alfred Decker
- 3627 University Blvd S Suite 415
- Jacksonville, FL
- Zip : 32216-4230
- Fax : (904) 398-9157
- Phone : (904) 398-5123
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Is Dr. Gary Alfred Decker a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | ME0034917 | FL |
| Y | 111NI0900X | Internist | ME0034917 | FL |
| N | 207RA0401X | Internist - Addiction Medicine | ME0034917 | FL |
National Provider Identifier
| NPI | 1356336846 |
|---|---|
| Provider Name | Dr. Gary Alfred Decker |
| First Address | Jacksonville, FL 32236-1148 |
| Second Address | Jacksonville, FL 32216-4230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2005 |
| Last Update Date | 01/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 039554400 | (05) | FL |
| D52637 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.