Provider Demographics
NPI:1841413267
Name:DELIMA, ANACAONA C (DDS)
Entity Type:Individual
Prefix:
First Name:ANACAONA
Middle Name:C
Last Name:DELIMA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 ARTHUR GODFREY RD STE 306
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3342
Mailing Address - Country:US
Mailing Address - Phone:305-532-1728
Mailing Address - Fax:305-532-1729
Practice Address - Street 1:975 ARTHUR GODFREY RD STE 306
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3342
Practice Address - Country:US
Practice Address - Phone:305-532-1728
Practice Address - Fax:305-532-1729
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDM-161521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice