MEDICARE: JACQUELYN DELFINA ORR

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207P00000X	Emergency Medicine Physician	OS23172	FL

General Provider Information

NPI Number	:	1417651860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELYN DELFINA ORR

Provider Business Mailing Address
First Line	:	BETHESDA HEALTH EAST, GME SUITE - EMERGENCY MEDICINE
Second Line	:	2815 SOUTH SEACREST BLVD
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435
Country	:	US
Telephone Number	:	561-479-6344
Fax Number	:

Provider Business Practice Location Address
First Line	:	BETHESDA HEALTH EAST, GME SUITE - EMERGENCY MEDICINE
Second Line	:	2815 SOUTH SEACREST BLVD
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435
Country	:	US
Telephone Number	:	561-479-6344
Fax Number	:

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

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	06/18/2026

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