Healthcare Provider Details

I. General information

NPI: 1093766768
Provider Name (Legal Business Name): JOSE A DELGADO ELVIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 02/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 SW 34TH CIR SUITE 202
OCALA FL
34474-6621
US

IV. Provider business mailing address

3301 SW 34TH CIR SUITE 202
OCALA FL
34474-6621
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-2826
  • Fax: 352-237-2488
Mailing address:
  • Phone: 352-237-2826
  • Fax: 352-237-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME95387
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME 95387
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME95387
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: