Doctor Name: | CARLY DELBERT |
NPI Number: | 1003274473 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 9302815 |
Business Practice Address: | 2 Tampa General Cir Tampa, FL - 336063603 |
Business Phone Number: | 8139742201 |
Business Fax Number: | |
Mailing Address: | Po Box 917770, ORLANDO |
State: | FL |
Postal Code: | 328917770 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/01/2016 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 9302815 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |