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Organization

LAKE PULMONARY & SLEEP DISORDERS CLINIC P.A.

Active
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Organization

LAKE PULMONARY & SLEEP DISORDERS CLINIC P.A.

Active
Other names
Humberto R. Delgado MD, PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FELIPE O ORTIZ MD (PRESIDENT)
(352) 728-0709
Entity
Organization

Contact information

Practice address
501 MEDICAL PLAZA DR, SUITE 102, LEESBURG, FL 34748-7324
(352) 728-0709
(352) 728-6460
Mailing address
501 MEDICAL PLAZA DR, SUITE 102, LEESBURG, FL 34748-7324
(352) 728-0709
(352) 728-0709

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0041828
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21618
BLUE SHIELD
FL
05
253650100
FL
Enumeration date
09/20/2005
Last updated
06/25/2015
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