Provider Demographics
NPI:1477606333
Name:DELPIZZO, ALPHONSE (MD)
Entity Type:Individual
Prefix:
First Name:ALPHONSE
Middle Name:
Last Name:DELPIZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 S TAMIAMI TRL
Mailing Address - Street 2:BUILDING A
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-9668
Mailing Address - Country:US
Mailing Address - Phone:941-966-7640
Mailing Address - Fax:941-966-7641
Practice Address - Street 1:2107 S TAMIAMI TRL
Practice Address - Street 2:BLDG A
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229-9668
Practice Address - Country:US
Practice Address - Phone:941-966-7640
Practice Address - Fax:941-966-7641
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 24212207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62960OtherHEALTHPARTNERS
FL02404OtherBCBS
FL5902708OtherGHI GROUP
FL707510OtherUPMC
FL707510OtherUPMC
D13879Medicare UPIN