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NPI Code Detail

MEDICARE: MR. SEAN FRANCIS DEL GREGO PA-C

MEDICARE: MR. SEAN FRANCIS DEL GREGO PA-C
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
1363A00000XPhysician AssistantPA9106628FL
2363AM0700XMedical Physician Assistant003178GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427021377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN FRANCIS DEL GREGO PA-C
Provider Business Mailing Address
First Line : 4780 SW 64TH AVE STE 103
Second Line :
City : DAVIE
State : FL
Zip : 33314-4400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4780 SW 64TH AVE STE 101
Second Line :
City : DAVIE
State : FL
Zip : 33314-4400
Country : US
Telephone Number : 954-434-1705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 08/07/2025

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Directions to “ MR. SEAN FRANCIS DEL GREGO PA-C” Practice Location

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