Organization Active NPI

Selma C Delima MD PA

  • Family Medicine Physician
  • Deland, FL
National Provider Identifier
1821268079
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME77990 Issued in FL
Legal business name
SELMA C DELIMA MD PA
Practice address
923 N Spring Garden Ave
Deland, FL 32720-2560
Phone
(386) 738-9144
Fax
(386) 738-9213
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Selma C Delima, MD PANPI 1689637779
Title
President
Phone
(386) 738-9144

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME77990 FL Primary

Addresses

Primary practice location

923 N Spring Garden Ave
Deland, FL 32720-2560

Mailing address

923 N Spring Garden Ave
Deland, FL 32720-2560
Phone (386) 738-9144

Other identifiers 1

IdentifierTypeStateIssuer
259501000MedicaidFL

National Provider Directory

National Provider Directory

Locations

923 N Spring Garden Ave
Deland, FL 32720
Phone (386) 738-9144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1821268079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 N SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202560",
            "telephone_number": "386-738-9144",
            "fax_number": "386-738-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 N SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202560",
            "telephone_number": "386-738-9144",
            "fax_number": "386-738-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA C DELIMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "DELIMA",
        "authorized_official_first_name": "SELMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-738-9144",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME77990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259501000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.