Provider Demographics
NPI:1487835252
Name:DELINKO, JANICE LEE
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:LEE
Last Name:DELINKO
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 1:751 HELMSMAN ST
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-1666
Mailing Address - Country:US
Mailing Address - Phone:727-692-9623
Mailing Address - Fax:727-773-8546
Practice Address - Street 1:751 HELMSMAN ST
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-1666
Practice Address - Country:US
Practice Address - Phone:727-692-9623
Practice Address - Fax:727-773-8546
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services