Organization
DELTA HEALTH, PA
Active
Organization
DELTA HEALTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD BOURGHLI M.D. (OWNER)
(352) 597-0022
Entity
Organization
Contact information
Practice address
11349 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
(352) 597-0022
(732) 607-5118
Mailing address
11349 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
(352) 597-0022
(732) 607-5118
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME79929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K5212
MEDICARE GROUP ID
FL
Enumeration date
09/20/2007
Last updated
11/12/2025
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