Individual
BRENT C DILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7550 N DALE MABRY HWY STE B, TAMPA, FL 33614
(813) 388-2948
(813) 249-0821
Mailing address
1340 BROAD AVE, STE 450, GULFPORT, MS 39501-2460
(813) 388-2948
(813) 388-6827
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD.205224
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
23747
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME137791
FL
Other
Enumeration date
05/12/2009
Last updated
03/25/2019
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