Individual
DR. CHARLES T DELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2140 SMITH ST, ORANGE PARK, FL 32073-5554
(904) 269-2140
(904) 264-3018
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME24210
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME24210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035767700
—
FL
Enumeration date
02/09/2006
Last updated
01/24/2023
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