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LINDA DELO DO PA NPI 1861535726


NPI Information

NPI: 1861535726
Provider Name: LINDA DELO DO PA

Doing Business As: DELO MEDICAL ASSOCIATES

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D0723706

Address:
514 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34984
Phone: (772) 871-5900
Get Directions

LINDA DELO DO PA is a primary care clinic center in Port Saint Lucie, FL. LINDA DELO DO PA NPI is 1861535726. The provider is registered as an organization entity type.
The provider Is Doing Business As Delo Medical Associates.

The provider's business location address is:

514 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34984-150
Phone: (772) 871-5900
Fax: (772) 871-1197

The provider's authorized official is Linda Fay Delo .
The authorized official title is President and has the following contact phone number (772) 871-5900.

The CLIA number assigned to this NPI record is 10D0723706 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 7/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareOS05326FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10112160OTHERFLORIDAGHI
2K3250MEDICARE PINFLORIDA
3E32323MEDICARE UPINFLORIDA
4CJ8553MEDICARE PINFLORIDA
582976OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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