# DELOS CLIFT MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548210180
- **Authorized official:** CATHY BENITEZ (OFFICE MANAGER)
- **Authorized official phone:** (407) 472-0840

## Contact information

- **Practice address:** 3000 N ORANGE AVE, SUITE A, ORLANDO, FL 32804-7613
- **Practice address phone:** (407) 472-0840
- **Practice address fax:** (407) 472-0841
- **Mailing address:** 3000 N ORANGE AVE, SUITE A, ORLANDO, FL 32804-7613
- **Mailing address phone:** (407) 472-0840
- **Mailing address fax:** (407) 472-0841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME60789 | FL | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 04/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12931 | BLUE CROSS/BLUE SHIELD | FL |
| 01 | — | 2068831 | AETNA HMO | FL |
| 01 | — | 211537 | AVMED | FL |
| 01 | — | 2380840009 | CIGNA | FL |
| 01 | — | A004 | TRICARE | FL |