Organization Active NPI

Gabriel F Delgado DPM PA

Doing business as Mid Florida Foot & Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Lakeland, FL
National Provider Identifier
1801067194
Registry record updated Sep 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GABRIEL F DELGADO DPM PA
Doing business as
Mid Florida Foot & Ankle Clinic
Practice address
203 Kerneywood St
Lakeland, FL 33803-2947
Phone
(863) 686-1641
Fax
(863) 802-5693
NPI assigned
Mar 14, 2008
Last updated
Sep 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2016

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

Authorized official

Name
Dr. Gabriel Felix Delgado, DPMNPI 1992776975
Title
Owner
Phone
(863) 686-1641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

203 Kerneywood St
Lakeland, FL 33803-2947

Mailing address

203 Kerneywood Street
Lakeland, FL 33803-2947
Phone (863) 686-1641

Other identifiers 1

IdentifierTypeStateIssuer
1992776975OtherFLNPI PERSONAL

Other names 1

  • Mid Florida Foot & Ankle Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930054740 FL DME Supplier - Physician - Podiatry 2961619754 Practice locations: Lakeland, FL
O20131015000600 FL Part B Supplier - Clinic/Group Practice 2961619754 Receives reassigned benefits from 1 practitioner
Practice locations: Bartow, FL; Lakeland, FL

National Provider Directory

National Provider Directory

Locations

510 W Main St
Bartow, FL 33830
Phone (863) 534-3668

203 Kerneywood St
Lakeland, FL 33803
Phone (863) 398-3870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474070400000",
    "number": "1801067194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 KERNEYWOOD STREET",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032947",
            "telephone_number": "863-686-1641",
            "fax_number": "863-802-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 KERNEYWOOD ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032947",
            "telephone_number": "863-686-1641",
            "fax_number": "863-802-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL F DELGADO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2016-09-17",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-686-1641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL",
            "identifier": "1992776975",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Florida Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.