Delvalle, Gerardo O

Delvalle, Gerardo O is an individual health care provider with primary practice located at 836 Prudential Dr Suite 1800, Jacksonville FL 32207-8334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Delvalle, Gerardo O can be contacted via phone (904) 398-7684.

Contact Information

Primary practice address
836 Prudential Dr Suite 1800 Jacksonville FL 32207-8334
Phone: (904) 398-7684
Fax: (904) 398-4998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X ME 61869 Florida

Profile Details

NPI number 1962505347
LBN Legal business name Delvalle, Gerardo O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 7th, 2014 - about 12 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 1962505347 NPPES
Florida MEDICAID 370626500

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