Provider Demographics
NPI:1811389414
Name:DELIBERATO, DAVID G (DO)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:G
Last Name:DELIBERATO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9970 CENTRAL PARK BLVD N STE 400A
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-2236
Mailing Address - Country:US
Mailing Address - Phone:561-430-4610
Mailing Address - Fax:561-227-9234
Practice Address - Street 1:9970 CENTRAL PARK BLVD N STE 400A
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-2236
Practice Address - Country:US
Practice Address - Phone:561-430-4610
Practice Address - Fax:561-227-9234
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS17696207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery