Linda Delo DO PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OS05326 Issued in FL

Legal business name

LINDA DELO DO PA

Doing business as

Delo Medical Associates

Practice address

514 SE Port St Lucie Blvd
Port Saint Lucie, FL 34984-5150

Phone

(772) 871-5900

Fax

(772) 871-1197

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Linda Fay Delo, D.O.

Title

President

Phone

(772) 871-5900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Delo Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1861535726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349845150",
            "telephone_number": "772-871-5900",
            "fax_number": "772-871-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349845150",
            "telephone_number": "772-871-5900",
            "fax_number": "772-871-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA DELO DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "DELO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-871-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS05326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82976",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0112160",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delo Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.