Dellock, Carey A
Dellock, Carey A is an individual health care provider with primary practice located at 2631 Centennial Blvd Suite 200, Tallahassee FL 32308-0588. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Dellock, Carey A can be contacted via phone (850) 656-7265.Contact Information
Primary practice address
2631 Centennial Blvd Suite 200
Tallahassee FL 32308-0588
Phone: (850) 656-7265
Fax: (850) 702-0245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME110641 | Florida |
Profile Details
| NPI number | 1003879131 |
|---|---|
| LBN Legal business name | Dellock, Carey A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jan 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003879131 | NPPES |
| Florida | MEDICAID | 003931600 | |
| Florida | Other | FH133Z |
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