Individual
ELYN ELIEZER LANFRANCO DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6037 KIMBERLY BLVD, NORTH LAUDERDALE, FL 33068-2811
(954) 379-8994
(954) 289-4682
Mailing address
6037 KIMBERLY BLVD, NORTH LAUDERDALE, FL 33068-2811
(954) 379-8994
(954) 289-4682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14712
PR
207Q00000X
Family Medicine Physician
Primary
ME158264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854409
—
SC
01
—
SCK5046067
MEDICARE PIN
SC
01
—
SCK5046084
MEDICARE PIN
SC
01
—
SCK504J577
MEDICARE PIN
SC
Enumeration date
06/27/2018
Last updated
09/21/2022
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