Provider Demographics
NPI:1215279609
Name:DELUMPA, SEGUNDO JUEN (MD)
Entity type:Individual
Prefix:DR
First Name:SEGUNDO
Middle Name:JUEN
Last Name:DELUMPA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8051 N CADIZ CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-8710
Mailing Address - Country:US
Mailing Address - Phone:407-351-9554
Mailing Address - Fax:
Practice Address - Street 1:8051 N CADIZ CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32836-8710
Practice Address - Country:US
Practice Address - Phone:407-351-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-23
Last Update Date:2013-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME46409208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME46409OtherGENERAL PRACTITIONER