Provider Demographics
NPI:1053365916
Name:DELGADO, ALAIN (MD)
Entity type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:
Last Name:DELGADO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 AVENUE A SE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-6301
Mailing Address - Country:US
Mailing Address - Phone:863-293-2107
Mailing Address - Fax:863-294-9314
Practice Address - Street 1:180 AVENUE A SE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-6301
Practice Address - Country:US
Practice Address - Phone:863-293-2107
Practice Address - Fax:863-294-9314
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84127174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264697800Medicaid
FL264697800Medicaid
FL10031Medicare ID - Type Unspecified