Organization
LINDA DELO DO PA
Active
Other names
Delo Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA FAY DELO D.O. (PRESIDENT)
(772) 871-5900
Entity
Organization
Contact information
Practice address
514 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5150
(772) 871-5900
(772) 871-1197
Mailing address
514 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5150
(772) 871-5900
(772) 871-1197
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS05326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112160
GHI
FL
01
—
82976
BCBS
FL
Enumeration date
02/14/2007
Last updated
07/09/2010
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