MEDICARE: MR. SALVATORE LEONARD DELELLIS DPM

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
1	213E00000X	Podiatrist	P01223	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	406480477	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	87660	OTHER	FL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326067281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SALVATORE LEONARD DELELLIS DPM

Provider Business Mailing Address
First Line	:	1264 SOUTH PINELLAS AVENUE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689
Country	:	US
Telephone Number	:	727-937-6398
Fax Number	:	727-937-6568

Provider Business Practice Location Address
First Line	:	1264 SOUTH PINELLAS AVENUE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689
Country	:	US
Telephone Number	:	727-937-6398
Fax Number	:	727-937-6568

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	01/13/2009

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Directions to “ MR. SALVATORE LEONARD DELELLIS DPM” Practice Location

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