Provider Demographics
NPI:1992776975
Name:DELGADO, GABRIEL FELIX (DPM)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:FELIX
Last Name:DELGADO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:203 KERNEYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-2947
Mailing Address - Country:US
Mailing Address - Phone:863-686-1641
Mailing Address - Fax:863-802-5693
Practice Address - Street 1:203 KERNEYWOOD ST
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-2947
Practice Address - Country:US
Practice Address - Phone:863-686-1641
Practice Address - Fax:863-802-5693
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2898213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4914240001Medicare NSC
FLU81807Medicare UPIN