Individual
TANIA DELGADO MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 NW 82ND AVE STE 205, PLANTATION, FL 33324-1854
(954) 475-9535
Mailing address
201 NW 82ND AVE STE 205, PLANTATION, FL 33324-1854
(954) 475-9535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9104327
FL
363AM0700X
Medical Physician Assistant
Primary
PA9104327
FL
Other
Enumeration date
04/07/2008
Last updated
07/20/2022
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