| Terrence S. Delikat, Do, P.l. | |
|
1350 E Main St Ste C-2 Bartow FL 33830-5064 | |
| (863) 537-6151 | |
| (863) 537-7146 |
| Full Name | Terrence S. Delikat, Do, P.l. |
|---|---|
| Speciality | Family Medicine |
| Location | 1350 E Main St Ste C-2, Bartow, Florida |
| Authorized Official Name and Position | Terrence Delikat (DR) |
| Authorized Official Contact | 8635376151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrence S. Delikat, Do, P.l. 1350 E Main St Ste C-2 Bartow FL 33830-5064 Ph: (863) 537-6151 | Terrence S. Delikat, Do, P.l. 1350 E Main St Ste C-2 Bartow FL 33830-5064 Ph: (863) 537-6151 |
| NPI Number | 1558543843 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 4183641830 |
|---|---|
| Medicare Enrollment ID | O20051101000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558543843 | NPI | - | NPPES |
| 264803200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Terrence S Delikat |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154326775 PECOS PAC ID: 0446277198 Enrollment ID: I20051102000366 |
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