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General NPI Number Information
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NPI Number | 1396903308
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Entity Type | Organization
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Legal Business Name | PANAMERICAN INTERNAL MEDICINE INC
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 2814 LEE BLVD STE 15
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-1561
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Country | US
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Telephone | 239-246-1136
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Fax |
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Provider Business Mailing Address
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Address Line | 2814 LEE BLVD STE 15
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-1561
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Country | US
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Telephone | 239-303-7726
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Fax | 239-491-0719
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Authorized Official
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Title or Position | MD
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Name | DR. DOLORES YAMILA DELGADO
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Credential | MD
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Telephone | 239-410-2887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | ME100544
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License Number State | FL
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