Provider Demographics
NPI:1003045725
Name:DELGADO, BELKIS (MPH, RD, LD/N)
Entity Type:Individual
Prefix:MRS
First Name:BELKIS
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MPH, RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 KENNEDY ST
Mailing Address - Street 2:
Mailing Address - City:PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32177-4109
Mailing Address - Country:US
Mailing Address - Phone:386-326-3200
Mailing Address - Fax:386-326-3350
Practice Address - Street 1:2801 KENNEDY ST
Practice Address - Street 2:
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-4109
Practice Address - Country:US
Practice Address - Phone:386-326-3200
Practice Address - Fax:386-326-3350
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND2298133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered