MEDICARE: DR. DELIA DELGADO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	ME68648	FL
2	207VG0400X	Gynecology Physician	ME68648	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	268772	OTHER	FL	AVMED
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	201789	OTHER	FL	AMERIGROUP
4	27327	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1578592051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DELIA DELGADO M.D.

Provider Business Mailing Address
First Line	:	10011 SEMINOLE BLVD
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-2539
Country	:	US
Telephone Number	:	727-393-2800
Fax Number	:	727-393-2801

Provider Business Practice Location Address
First Line	:	10011 SEMINOLE BLVD
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-2539
Country	:	US
Telephone Number	:	727-393-2800
Fax Number	:	727-393-2801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	05/02/2025

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Directions to “ DR. DELIA DELGADO M.D.” Practice Location

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