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NPI Code Detail

MEDICARE: DALIDA DELGADO

MEDICARE: DALIDA DELGADO
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
11041C0700XClinical Social WorkerISW11155FL

General Provider Information

NPI Number : 1174801526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALIDA DELGADO
Provider Business Mailing Address
First Line : 10139 MONTAGUE ST
Second Line :
City : TAMPA
State : FL
Zip : 33626-1857
Country : US
Telephone Number : 813-431-4577
Fax Number :
Provider Business Practice Location Address
First Line : 10139 MONTAGUE ST
Second Line :
City : TAMPA
State : FL
Zip : 33626-1857
Country : US
Telephone Number : 813-431-4577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2011
Last Update Date : 03/17/2018

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Directions to “ DALIDA DELGADO ” Practice Location

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