Individual
DR. IVANELSIE DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 SW PALM DR APT 161, PORT ST LUCIE, FL 34986-1796
(305) 726-5502
Mailing address
161 SW PALM DR APT 161, PORT ST LUCIE, FL 34986-1796
(305) 726-5502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME112280
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME112280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004791700
—
FL
Enumeration date
06/11/2007
Last updated
11/08/2016
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