Organization

Dlc Delta, Inc.

Interventional Pain Medicine Physician in Pensacola, FL(View on Map)

Legal Business Name

Dlc Delta, Inc.

NPI Number

1619543881

NPI Type

Organization

Enumeration Date

05/28/2021

Specialties

(Taxonomies)

Code

208VP0014X
251B00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

259 S E ST
259 S E ST

City

Pensacola
Pensacola

State

FL
FL

Postal Code

32502-4569
32502-4569

Country

US
US

Telephone Number

(734) 389-5832
(734) 389-5832

Authorized Official

Name

Dr. Gerald Mastaw

Title or Position

INTERIM CEO

Telephone Number

(734) 389-5832

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/28/2021

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