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Individual

DR. CRAIG KENNETH DELIGDISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1344 S APOLLO BLVD, STE 303, MELBOURNE, FL 32901-3332
(321) 727-3495
(321) 728-0226
Mailing address
1344 S APOLLO BLVD STE 406, MELBOURNE, FL 32901-3185
(321) 727-2990
(321) 724-0455

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME53490
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME53490
FL
207RX0202X
Medical Oncology Physician
ME53490
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0081989
AETNA
FL
01
01226665
AMERIGROUP
FL
05
024275000
FL
01
03716
WELLCARE
FL
01
07510
BLUE CROSS AND BLUE SHIELD
FL
01
1034687
CAREPLUS
01
4334053
AETNA
FL
01
6340075002
CIGNA
FL
01
830007236
RAILROAD MEDICARE
FL
01
EFFECTIVE 04/01/1999
CCN/FIRST HEALTH
FL
01
PR06668
QUALITY HEALTH PLANS
FL
Enumeration date
11/02/2005
Last updated
10/01/2025
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