MEDICARE: ERNESTO DELGADO ARNP

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	363LF0000X	Family Nurse Practitioner	9370979	FL

General Provider Information

NPI Number	:	1366975823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNESTO DELGADO ARNP

Provider Business Mailing Address
First Line	:	600 THREE ISLANDS BLVD APT 518
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2844
Country	:	US
Telephone Number	:	305-281-3772
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 THREE ISLANDS BLVD APT 518
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2844
Country	:	US
Telephone Number	:	305-281-3772
Fax Number	:

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

Provider Enumeration Date	:	04/11/2017
Last Update Date	:	04/11/2017

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