Individual
GERARDO O DELVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1800, JACKSONVILLE, FL 32207-8334
(904) 398-7684
(904) 398-4998
Mailing address
1500 CONCORD TER, SUNRISE, FL 33323-2815
(800) 243-3839
(855) 527-5510
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME 61869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370626500
—
FL
Enumeration date
09/07/2006
Last updated
07/07/2014
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