Healthcare Provider Details

I. General information

NPI: 1548193980
Provider Name (Legal Business Name): SHAUL R DELGADO-NUNEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 BROOKMYRA DR
ORLANDO FL
32837-5105
US

IV. Provider business mailing address

3911 BROOKMYRA DR
ORLANDO FL
32837-5105
US

V. Phone/Fax

Practice location:
  • Phone: 407-625-6394
  • Fax: 407-859-5723
Mailing address:
  • Phone: 407-625-6394
  • Fax: 407-859-5723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: