Individual
DR. CHRISTOPHER W DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
960 LEARNING WAY, TALLAHASSEE, FL 32306-4178
(850) 644-6230
(850) 644-4251
Mailing address
960 LEARNING WAY, TALLAHASSEE, FL 32306-4178
(850) 644-6230
(850) 644-4251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS9394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003831421
NPI NUMBER
—
05
—
277511500
—
FL
01
—
DN5565
GROUP RR MEDICARE
FL
01
—
OS9394
LICENSE
FL
01
—
P00683811
RR MEDICARE
FL
Enumeration date
07/13/2006
Last updated
08/14/2013
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