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NPI Code Detail

MEDICARE: DR. EDMUNDO D DELGADO DO

MEDICARE: DR. EDMUNDO D DELGADO DO
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
1207L00000XAnesthesiology PhysicianOS07256FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
149162OTHERFLBCBS

General Provider Information

NPI Number : 1760460372
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDMUNDO D DELGADO DO
Provider Business Mailing Address
First Line : 291 SOUTHHALL LN
Second Line : SUITE 201
City : MAITLAND
State : FL
Zip : 32751-7274
Country : US
Telephone Number : 407-667-0444
Fax Number : 407-667-4338
Provider Business Practice Location Address
First Line : 701 W PLYMOUTH AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-3236
Country : US
Telephone Number : 407-667-0444
Fax Number : 407-667-4338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 02/18/2008

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