Dr Peggy L De Lara, AP, OMD is a
Physical Therapy Assistant based in St Petersburg, Florida. Dr Peggy L De Lara is licensed to practice in Florida (license number PTA2040) and her current practice location is
2555 2nd Ave N, St Petersburg, Florida. She can be reached at her office (for appointments etc.) via phone at
(727) 385-7528.
NPI number for Dr Peggy L De Lara is 1598784332 and her current mailing address is Po Box 10493, St Petersburg, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598784332.
Healthcare Provider's Profile
| Full Name | Dr Peggy L De Lara |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapy Assistant |
|---|
| Location | 2555 2nd Ave N, St Petersburg, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598784332
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 04/20/2009
Medical Identifiers
Medical identifiers for Dr Peggy L De Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598784332 | NPI | - | NPPES |
| 106898 | Other | FL | MEDICARE ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AP 1751 (Florida) | Secondary |
| 225200000X | Physical Therapy Assistant | PTA2040 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peggy L De Lara is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Peggy L De Lara, AP, OMD
Po Box 10493,
St Petersburg, FL 33733-0493
Ph: (727) 385-7528 | Dr Peggy L De Lara, AP, OMD
2555 2nd Ave N,
St Petersburg, FL 33713-8705
Ph: (727) 385-7528 |
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