Individual
DR. DELIA ANNE WIETECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4513 EXECUTIVE DR STE 201, NAPLES, FL 34119-9033
(239) 624-0470
(239) 624-8131
Mailing address
PO BOX 26067, SALT LAKE CITY, UT 84126-0067
(239) 624-0400
(239) 624-8131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME156640
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114801800
—
FL
01
—
XAFSB
FL BLUE
FL
Enumeration date
03/19/2019
Last updated
04/24/2026
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