Dr. Charles T Dellinger
Adolescent Medicine
2140 Smith St Credentialing Department
Orange Park
, Florida 32073-5554
Dr. Charles T Dellinger
Adolescent Medicine
2140 Smith St Credentialing Department
Orange Park
, Florida 32073-5554
(904) 376-4107
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Charles T Dellinger
- Po Box 45443
- Salt Lake City, UT
- Zip : 84145-0443
- Fax : (904) 376-4107
- Phone : (904) 202-1032
Second Address
- Dr. Charles T Dellinger
- 2140 Smith St Credentialing Department
- Orange Park, FL
- Zip : 32073-5554
- Fax : (904) 264-3018
- Phone : (904) 269-2140
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Is Dr. Charles T Dellinger a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | ME24210 | FL |
National Provider Identifier
| NPI | 1114990157 |
|---|---|
| Provider Name | Dr. Charles T Dellinger |
| First Address | Salt Lake City, UT 84145-0443 |
| Second Address | Orange Park, FL 32073-5554 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2006 |
| Last Update Date | 24/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 035767700 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.