Individual
EMILIO DELVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6300 CORPORATE CT, STE 103, FORT MYERS, FL 33919-3513
(239) 277-7666
(239) 277-1064
Mailing address
1860 BOY SCOUT DR, STE 201, FORT MYERS, FL 33907-2119
(239) 215-1180
(239) 215-1179
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME55848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064251700
—
FL
Enumeration date
07/13/2005
Last updated
04/24/2018
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