Individual
LUIS A DELFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Mailing address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME44436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163912
CIGNA
FL
01
—
060036693
MEDICARE RR
FL
01
—
11001397
CAQH
FL
05
—
252932700
—
FL
01
—
269859500
MEDICAID GROUP
FL
01
—
28524
BCBS OF FL
FL
01
—
77940
BCBS OF FL GROUP ID
FL
01
—
CF1416
MEDICARE RR GROUP
FL
01
—
FL0009086
CHAMPUS/TRICARE
FL
01
—
ME0044436
STATE LICENSE NUMBER
FL
Enumeration date
11/29/2005
Last updated
10/13/2009
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