Dr. Christopher W Delisle
Family Doctor
960 Learning Way
Tallahassee
, Florida 32306-4178
Dr. Christopher W Delisle
Family Doctor
960 Learning Way
Tallahassee
, Florida 32306-4178
(850) 644-4251
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Christopher W Delisle
- 960 Learning Way
- Tallahassee, FL
- Zip : 32306-4178
- Fax : (850) 644-4251
- Phone : (850) 644-6230
Second Address
- Dr. Christopher W Delisle
- 960 Learning Way
- Tallahassee, FL
- Zip : 32306-4178
- Fax : (850) 644-4251
- Phone : (850) 644-6230
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | OS9394 | FL |
National Provider Identifier
| NPI | 1003831421 |
|---|---|
| Provider Name | Dr. Christopher W Delisle |
| First Address | Tallahassee, FL 32306-4178 |
| Second Address | Tallahassee, FL 32306-4178 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2006 |
| Last Update Date | 14/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003831421 | NPI NUMBER (01) | |
| 277511500 | (05) | FL |
| DN5565 | GROUP RR MEDICARE (01) | FL |
| I71196 | (02) | FL |
| OS9394 | LICENSE (01) | FL |
| P00683811 | RR MEDICARE (01) | 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.