Individual
KEISHA TRACEY DELVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 S. SEMORAN BLVD., WINTER PARK, FL 32792, SUITE 1402, WINTER PARK, FL 32792-5533
(321) 397-3000
(407) 681-5478
Mailing address
1485 S. SEMORAN BLVD., WINTER PARK, FL 32792, SUITE 1402, WINTER PARK, FL 32792-5533
(321) 397-3000
(407) 681-5478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
10/22/2012
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