Healthcare Provider Details

I. General information

NPI: 1811389414
Provider Name (Legal Business Name): DAVID G DELIBERATO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2015
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5490 BRYSON DR STE 201
NAPLES FL
34109-0924
US

IV. Provider business mailing address

9970 CENTRAL PARK BLVD N STE 400A
BOCA RATON FL
33428-2236
US

V. Phone/Fax

Practice location:
  • Phone: 239-522-2002
  • Fax:
Mailing address:
  • Phone: 561-430-4610
  • Fax: 561-227-9234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS17696
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: