Delia, Jessica Lauren

Delia, Jessica Lauren is an individual health care provider with primary practice located at 1155 35Th Ln Ste 201A , Vero Beach FL 32960-6537. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Delia, Jessica Lauren can be contacted via phone (772) 562-5661.

Contact Information

Primary practice address
1155 35Th Ln Ste 201A Vero Beach FL 32960-6537
Phone: (772) 562-5661
Fax: (772) 562-5702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME110651 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME110651 Florida

Profile Details

NPI number 1114217163
LBN Legal business name Delia, Jessica Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2011
Last updated Sep 20th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114217163 NPPES
Florida MEDICAID 003993500

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