NPI 1619543881
Dlc Delta, INC.
Practice location
- Address
- 259 S E St, Pensacola, FL 32502-4569
- Phone
- (734) 389-5832
Authorised official
- Name
- Gerald Mastaw
- Title
- Interim Ceo
- Phone
- (734) 389-5832
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Case Management Agency
Registry record
- NPI
- 1619543881
- Entity type
- Organization
- NPI issued
- 28 May 2021
- Record last updated
- 28 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.