Provider Demographics
NPI:1306477195
Name:DECIUS, MAGALIE
Entity type:Individual
Prefix:MS
First Name:MAGALIE
Middle Name:
Last Name:DECIUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MALIBU BAY DR APT 208
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-8422
Mailing Address - Country:US
Mailing Address - Phone:561-275-3801
Mailing Address - Fax:954-252-3890
Practice Address - Street 1:800 MALIBU BAY DR APT 208
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-8422
Practice Address - Country:US
Practice Address - Phone:561-275-3801
Practice Address - Fax:954-252-3890
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide