Healthcare Provider Details

I. General information

NPI: 1790665271
Provider Name (Legal Business Name): COVENANT MEDICAL PARTNERS, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 OLD HICKORY TREE RD
SAINT CLOUD FL
34771-5815
US

IV. Provider business mailing address

3551 BUCKINGHAM CT
SAINT CLOUD FL
34772-8727
US

V. Phone/Fax

Practice location:
  • Phone: 689-303-2219
  • Fax: 407-498-7525
Mailing address:
  • Phone: 786-405-5817
  • Fax: 999-999-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CINTHIA D DELGADO
Title or Position: CEO
Credential: APRN, FNP-BC
Phone: 786-405-5817