Individual
ADELINE MAE DELADISMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 PINELLAS ST STE 200, CLEARWATER, FL 33756-3312
(727) 462-2131
(727) 266-4914
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 281-9065
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
00498
GA
208600000X
Surgery Physician
01071770A
IN
208600000X
Surgery Physician
D72711
MD
208600000X
Surgery Physician
Primary
ME134033
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045199100
—
MD
01
—
97509401
BCBS
MD
01
—
97509402
BCBS
MD
01
—
97509403
BCBS
MD
01
—
V8080011
BCBS
DC
01
—
V8380011
BCBS
DC
01
—
V8740011
BCBS
DC
Enumeration date
03/30/2007
Last updated
02/20/2025
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