Individual
CAREY A DELLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2631 CENTENNIAL BLVD, SUITE 200, TALLAHASSEE, FL 32308-0588
(850) 656-7265
(850) 702-0245
Mailing address
2631 CENTENNIAL BLVD STE 200, TALLAHASSEE, FL 32308-0591
(850) 656-7265
(850) 702-0245
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME110641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003931600
—
FL
01
—
FH133Z
MEDICARE PTAN
FL
Enumeration date
04/10/2006
Last updated
01/27/2022
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