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General NPI Number Information
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NPI Number | 1033932074
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Entity Type | Organization
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Legal Business Name | DELRAY MEDICAL GROUP, PA
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 13590 S JOG RD STE 4
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City | DELRAY BEACH
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State | FL
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Zip | 33446-3807
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Country | US
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Telephone | 561-396-1538
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Fax |
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Provider Business Mailing Address
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Address Line | 9835 LAKE WORTH RD STE 16-384
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City | LAKE WORTH
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State | FL
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Zip | 33467-2300
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Country | US
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Telephone | 561-459-4637
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE L CONDE
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Credential | MD
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Telephone | 561-396-1538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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