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Dr. Carl Anthony Diblasio III, MD
Student in an Organized Health Care Education/Training Program in Gulfport, Mississippi
NPI 1801648712

Carl Anthony Diblasio III is a Student in an Organized Health Care Education/Training Program based in Bullhead City, MS. Carl Anthony Diblasio III practices in Gulfport, MS and has the professional credentials of MD. The NPI Number for Carl Anthony Diblasio III is 1801648712 and holds a License No. (Mississippi).

The current practice location address for Carl Anthony Diblasio III is 4500 13Th St, Gulfport, MS and can be reached out via phone at 228-867-4968.

Location: 4500 13Th St, Gulfport, MS, 86442-8834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801648712
Provider Name
Carl Anthony Diblasio III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4500 13Th St, Gulfport, MS, 86442-8834
Phone Number
228-867-4968
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4500 13Th St
City
Gulfport
State
Mississippi
Zip
39501-2515
Phone Number
228-867-4968
Fax Number
person
Provider Business Mailing Address Details
Address
4500 13Th St
City
Gulfport
State
Mississippi
Zip
39501-2515
Phone Number
228-867-4968
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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