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NPI Code Detail

MEDICARE: SAL L DELELLIS D.P.M P. A.

MEDICARE: SAL L DELELLIS D.P.M P. A.
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
1213E00000XPodiatristP01223FL

General Provider Information

NPI Number : 1881739126
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAL L DELELLIS D.P.M P. A.
Provider Business Mailing Address
First Line : 1264 S PINELLAS AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-3720
Country : US
Telephone Number : 727-937-6398
Fax Number : 727-937-6568
Provider Business Practice Location Address
First Line : 1264 S PINELLAS AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-3720
Country : US
Telephone Number : 727-937-6398
Fax Number : 727-937-6568
Authorized Official
Title or Position : PRESIDENT
Name : DR. SALVATORE L DELELLIS
Credential : DPM
Telephone Number : 727-937-6398
Provider Enumeration Date : 02/21/2007
Last Update Date : 01/13/2009

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