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NPI Code Detail

MEDICARE: DR. DELIA G. TOLEDO M.D.

MEDICARE:  DR. DELIA G. TOLEDO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME126186FL

Other Identifiers

General Provider Information

NPI Number : 1053514604
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DELIA G. TOLEDO M.D.
Provider Business Mailing Address
First Line : 6360 TECHSTER BLVD
Second Line : SUITE 1
City : FORT MYERS
State : FL
Zip : 33966-4805
Country : US
Telephone Number : 239-223-2751
Fax Number : 239-561-2933
Provider Business Practice Location Address
First Line : 3191 HARBOR BLVD
Second Line : SUITE A
City : PORT CHARLOTTE
State : FL
Zip : 33952-6755
Country : US
Telephone Number : 239-223-2751
Fax Number : 239-561-2933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2007
Last Update Date : 07/21/2016

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Directions to “ DR. DELIA G. TOLEDO M.D.” Practice Location

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