Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 000894 | GA |
N | 207X00000X | Orthopaedic Surgeon | A103280 | CA |
Y | 207X00000X | Orthopaedic Surgeon | ME105276 | FL |
N | 207XS0117X | Orthopaedic Spine Surgeon | ME 105276 | FL |
NPI | 1033396908 |
---|---|
Provider Name | Dr. Robert Courtney Decker |
First Address | Gainesville, FL 32610-3003 |
Second Address | Gainesville, FL 32607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2008 |
Last Update Date | 29/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001540000 | (05) | FL |