Provider Demographics
NPI:1578592051
Name:DELGADO, DELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10011 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-2539
Mailing Address - Country:US
Mailing Address - Phone:727-393-2800
Mailing Address - Fax:727-393-2801
Practice Address - Street 1:10011 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-2539
Practice Address - Country:US
Practice Address - Phone:727-393-2800
Practice Address - Fax:727-393-2801
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68648207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268772OtherAVMED
FL201789OtherAMERIGROUP
FL27327OtherBLUE CROSS BLUE SHIELD
FL201789OtherAMERIGROUP
FL27327ZMedicare ID - Type Unspecified