Individual
JOHN CHRISTOFER DALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 MAR WALT DRIVE, WHITE-WILSON EAST BUILDING, FORT WALTON BEACH, FL 32547-6707
(850) 863-8269
(850) 862-7965
Mailing address
1005 MAR WALT DR, ADMINISTRATION, FORT WALTON BEACH, FL 32547-6707
(850) 863-8255
(850) 862-7965
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME82923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01075
BCBSFL
FL
05
—
262332300
—
FL
Enumeration date
02/22/2006
Last updated
06/03/2020
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