Individual
MS. ANDREA DELSALTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2711 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-1373
(321) 337-0700
Mailing address
PO BOX 421407, KISSIMMEE, FL 34742-1407
(321) 337-0700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014409400
—
FL
Enumeration date
01/21/2015
Last updated
06/22/2015
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