Provider Demographics
NPI:1346358892
Name:DECANDIS, FRANCIS XAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:XAVIER
Last Name:DECANDIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6520 FORT CAROLINE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-2044
Mailing Address - Country:US
Mailing Address - Phone:904-745-3618
Mailing Address - Fax:904-722-4271
Practice Address - Street 1:14444 BEACH BLVD STE 28
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32250-2080
Practice Address - Country:US
Practice Address - Phone:904-367-2277
Practice Address - Fax:904-421-3788
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME49981207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263882700Medicaid
FL04142TMedicare PIN
MD119591300Medicaid
FL263882700Medicaid
MDS118Medicare PIN