Charlie Delta Health Service LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHARLIE DELTA HEALTH SERVICE LLC

Doing business as

Pensacola Better Bodies and Weight Loss

Practice address

2420 E Olive Rd Ste B
Pensacola, FL 32514-5110

Phone

(850) 332-6523

NPI assigned

Jan 31, 2024

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Justin Duncan

Title

Coo

Phone

(850) 332-6523

Specialties & licenses 1

Addresses

Other names 1

• Pensacola Better Bodies and Weight Loss Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25078/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Brittney Duncan, CRNP

  • Adult Health Nurse Practitioner
  • Pensacola, FL
  • NPI 1891293932
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1780447011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 E OLIVE RD STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145110",
            "telephone_number": "850-332-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 E OLIVE RD STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145110",
            "telephone_number": "850-332-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE DELTA HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "850-332-6523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pensacola Better Bodies and Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Underberg Charbonneau, O.D.
• Charles E Chapleau M D Neurosurgery PLLC
• Charles P. Riley MD PA (Gulf Coast Cardiology)
• Elizabeth Rose Charles, LMHC
• Lashica Shartrece Charley, M.S,
• Tiffany Nicole Charney, CPNP-AC/PC
• Amy Chastain, APRN
• Hieu Minh Chau, DMD
• Stephanie Chauvel
• Rahul N Chavan, MD

• General Practice Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.