Healthcare Provider Details

I. General information

NPI: 1043142656
Provider Name (Legal Business Name): CHRISTOPHER K DALBERISTE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8913 NW 28TH DR APT E
CORAL SPRINGS FL
33065-5284
US

IV. Provider business mailing address

8913 NW 28TH DR APT E
CORAL SPRINGS FL
33065-5284
US

V. Phone/Fax

Practice location:
  • Phone: 305-926-7686
  • Fax:
Mailing address:
  • Phone: 305-926-7686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAPRN11047872
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: