PHILLIP D.DECUBELLIS PA
NPI 1730239575
Podiatrist - Foot & Ankle Surgery in Fort Lauderdale, FL

Active since January 12, 2007
2828 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308(954) 776-5700(954) 776-5701 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Phillip D.decubellis Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP D.DECUBELLIS PA (NPI 1730239575) is a healthcare organization registered as a foot & ankle surgery in Fort Lauderdale, Florida and active in the NPI registry since January 2007. The organization lists Phillip D Decubellis, Podiatric, as its authorized official.

NPPES Registry Identity

NPI1730239575
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePHILLIP D.DECUBELLIS PA
Location Address2828 E COMMERCIAL BLVDFort Lauderdale, FL 33308-4206
Mailing Address2828 E Commercial BlvdFort Lauderdale, FL 33308-4206 · (954) 776-5700 · Fax (954) 776-5701
Fax(954) 776-5701
Organization SubpartNo
Authorized OfficialPhillip D DecubellisPodiatric · (954) 776-5700
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJanuary 2, 2014
✔ NPI 1730239575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
2828 E COMMERCIAL BLVD, Fort Lauderdale, FL 33308

Other Identifiers 3

OtherK1117FL · Ptan
Medicare NSC4291020001FL
Medicaid390494600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
2828 E COMMERCIAL BLVD
FT LAUDERDALE, FL 33308
Specialist
2828 E COMMERCIAL BLVD
FT LAUDERDALE, FL 33308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip D.Decubellis PA's NPI number?

The NPI number for Phillip D.Decubellis PA is 1730239575. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Phillip D.Decubellis PA located?

Phillip D.Decubellis PA is located at 2828 E Commercial Blvd, Fort Lauderdale, FL 33308. The listed phone number is (954) 776-5700.

What is Phillip D.Decubellis PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Phillip D.Decubellis PA was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.