Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAMES PHILIP VAN DECAR, M.D.
ActiveNeurodevelopmental Disabilities · EGLIN AFB, FL
Registration Details
- NPI Number
- 1083604052
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2005 (20.502452965192 yrs)
- Last Updated
- Oct 3, 2012
- License
-
ME 106290 (FL)
Practice Information
- Address
-
307 BOATNER RD STE 114EGLIN AFB, FL, 325421302Browse FL providers · Browse ZIP 32542
- Phone
- 8508838780
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.