Individual
LISSET DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 SW 122ND AVE APT 3, MIAMI, FL 33184-2837
(786) 470-4174
(305) 559-0124
Mailing address
1535 SW 122ND AVE APT 3, MIAMI, FL 33184-2837
(786) 470-4174
(305) 559-0124
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA46950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA46950
STATE LICENSE
FL
Enumeration date
10/05/2010
Last updated
10/05/2010
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