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
Fax: (850) 702-0245
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003879131 NPPES
Florida MEDICAID 003931600
Florida Other FH133Z

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