Provider Demographics
NPI:1417491440
Name:DELFIN, KARINA
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:DELFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 ALAFAYA HEIGHTS RD
Mailing Address - Street 2:UNIT 229
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7532
Mailing Address - Country:US
Mailing Address - Phone:407-271-9542
Mailing Address - Fax:
Practice Address - Street 1:200 N DENNING DR
Practice Address - Street 2:SUITE 7
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3736
Practice Address - Country:US
Practice Address - Phone:407-900-7145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA64215225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist