Delta Corps Diagnostics LLC
NPI #1417769894 in Miramar Beach, Florida
Provider Information
- NPI Number
- 1417769894
- Entity Type
- Organization
- Organization Name
- Delta Corps Diagnostics LLC
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Jan 23, 2025
- Last Updated
- Jan 23, 2025
Practice Location
- Address
- 495 GRAND BLVD STE 206
- City
- Miramar Beach
- State
- Florida
- ZIP Code
- 32550-1897
- Phone
- (734) 389-5832
Authorized Official
- Name
- DR. GERALD MASTAW JR., MD
- Title
- CEO
- Phone
- (734) 389-5832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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