Flordeliza Dimaliwat Goleta, CRNP is a
Nurse Practitioner based in Wright Pat, Ohio. Flordeliza Dimaliwat Goleta is licensed to practice in Maryland (license number R071571) and her current practice location is
4881 Sugar Maple Dr, Wright Pat, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 257-6991.
NPI number for Flordeliza Dimaliwat Goleta is 1497749758 and her current mailing address is 4881 Sugar Maple Dr, Wright Pat, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497749758.
Provider's Profile
Full Name | Flordeliza Dimaliwat Goleta |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 4881 Sugar Maple Dr, Wright Pat, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497749758
- Provider Enumeration Date: 09/01/2005
- Last Update Date: 10/05/2015
Medical Identifiers
Medical identifiers for Flordeliza Dimaliwat Goleta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497749758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | R071571 (Maryland) | 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. Flordeliza Dimaliwat Goleta 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 |
Flordeliza Dimaliwat Goleta, CRNP 4881 Sugar Maple Dr, Wright Pat, OH 45433-5529 Ph: (937) 257-6991 | Flordeliza Dimaliwat Goleta, CRNP 4881 Sugar Maple Dr, Wright Pat, OH 45433-5529 Ph: (937) 257-6991 |
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