Provider Demographics
NPI:1528046083
Name:DECI, PAUL ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ANDREW
Last Name:DECI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5201 RAYMOND ST
Mailing Address - Street 2:116
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-8208
Mailing Address - Country:US
Mailing Address - Phone:321-397-6288
Mailing Address - Fax:321-397-6537
Practice Address - Street 1:5201 RAYMOND ST
Practice Address - Street 2:ORLANDO VAMC 116
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-8208
Practice Address - Country:US
Practice Address - Phone:321-397-6288
Practice Address - Fax:321-397-6537
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2010-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL000237672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry