Individual
IVAN DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1501 NE 62ND ST, FORT LAUDERDALE, FL 33334-5116
(954) 776-2124
(954) 492-4562
Mailing address
1501 NE 62ND ST, FORT LAUDERDALE, FL 33334-5116
(954) 776-2124
(954) 492-4562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3483
FL
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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