MEDICARE: DR. PIERRE DELTOR MD

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	207R00000X	Internal Medicine Physician	ME86340	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	78605	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730138710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PIERRE DELTOR MD

Provider Business Mailing Address
First Line	:	400 EXECUTIVE CENTER DR
Second Line	:	SUITE 110
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2917
Country	:	US
Telephone Number	:	561-429-2401
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 EXECUTIVE CENTER DR
Second Line	:	SUITE 110
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2917
Country	:	US
Telephone Number	:	561-429-2401
Fax Number	:

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	09/06/2012

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Directions to “ DR. PIERRE DELTOR MD” Practice Location

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