Individual
DR. PETER A. INDELICATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7017
(352) 273-7388
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-7017
(352) 273-7388
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME30676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058724900
—
FL
Enumeration date
06/24/2006
Last updated
06/30/2010
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