Emilio Delvalle, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME55848 Issued in FL

Practice address

6300 Corporate CT
Ste 103
Fort Myers, FL 33919-3513

Phone

(239) 277-7666

Fax

(239) 277-1064

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1477551497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 BOY SCOUT DR",
            "address_2": "STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072119",
            "telephone_number": "239-215-1180",
            "fax_number": "239-215-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 CORPORATE CT",
            "address_2": "STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193513",
            "telephone_number": "239-277-7666",
            "fax_number": "239-277-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVALLE",
        "first_name": "EMILIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME55848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064251700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Delmont, P.T.
• Jennifer Marie Delong, ARNP
• Natalie Annelee Delonge, D.C.
• Jeordan Rae Delp, PA-C
• Ruth Delpe
• Philip Blake Demario, APRN
• Dylan Andrew Demars, PMHNP-BC
• Mary Ellen T Demartini, ARNP
• John Aloysius Dempsey III, APRN
• Dena Paniccia LLC

• Pediatrics Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.