Individual
MICHAEL J. DOLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W. MORENO ST, PENSACOLA, FL 32501
(850) 434-4011
Mailing address
P O BOX 409703, ATLANTA, GA 30384
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME66315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251020100
—
FL
Enumeration date
09/25/2006
Last updated
05/21/2008
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