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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