Individual
JOSEPH DEILY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9981 S HEALTHPARK DR STE 156, FORT MYERS, FL 33908-3618
(239) 343-6341
(239) 343-6342
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 649-1000
(831) 649-4962
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA65079
CA
363AS0400X
Surgical Physician Assistant
Primary
PA9101378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290890500
—
FL
01
—
P00292299
RAILROAD MEDICARE
—
Enumeration date
06/24/2006
Last updated
04/10/2026
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