Doctor Name: | DR. SEGUNDO JUEN DELUMPA |
NPI Number: | 1215279609 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME46409 |
Business Practice Address: | 8051 N Cadiz Ct Orlando, FL - 328368710 |
Business Phone Number: | 4073519554 |
Business Fax Number: | |
Mailing Address: | 8051 N Cadiz Ct, ORLANDO |
State: | FL |
Postal Code: | 328368710 |
Phone Number: | 4073519554 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2013 |
NPI Last Update Date: | 03/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME46409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |