Provider Demographics
NPI:1821241779
Name:DELTIEURE, MICHELE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:
Last Name:DELTIEURE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:DELTIEURE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,MPH
Mailing Address - Street 1:1605 S US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-8436
Mailing Address - Country:US
Mailing Address - Phone:561-242-3009
Mailing Address - Fax:
Practice Address - Street 1:2101 CENTRE PARK WEST DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6453
Practice Address - Country:US
Practice Address - Phone:561-242-3009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA050380002083P0500X
FLME106685207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine