| Charlie Delta Health Service Llc | |
|
2420 E Olive Rd Ste B Pensacola FL 32514-5110 | |
| (850) 332-6523 | |
| Not Available |
| Full Name | Charlie Delta Health Service Llc |
|---|---|
| Speciality | General Practice |
| Location | 2420 E Olive Rd Ste B, Pensacola, Florida |
| Authorized Official Name and Position | Justin Duncan (COO) |
| Authorized Official Contact | 8503326523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlie Delta Health Service Llc 2420 E Olive Rd Ste B Pensacola FL 32514-5110 Ph: (850) 332-6523 | Charlie Delta Health Service Llc 2420 E Olive Rd Ste B Pensacola FL 32514-5110 Ph: (850) 332-6523 |
| NPI Number | 1780447011 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780447011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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