GARY JAY DELLERSON (NPI# 1457897290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457897290 |
| Entity Type | Individual |
| Full Name | GARY JAY DELLERSON |
| Credential | MD |
| Practice Address |
2402 Embassy Dr West Palm Beach FL 33401-1013 |
| Practice Telephone | 5616894747 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME 15790 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE OF FLORIDA DEPT. OF HEALTH DIVISION OF MEDICAL QUALITY INS | ME 15790 | 01 |
| Street Address |
2402 EMBASSY DR |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835259 | Myemcdoc LLC | General Practice | 931 Village Blvd Ste 135, West Palm Beach, FL 33409-1803 | 2020-06-12 |
| 1811473432 | My Visiting Provider | General Practice | 100 Century Blvd Ste 201, West Palm Beach, FL 33417 | 2018-07-17 |
| 1508376450 | Apex Health Wellington LLC | General Practice | 1411 N Flagler Dr Ste 7600, West Palm Beach, FL 33401-3419 | 2017-10-05 |
| 1295276715 | George Woy | General Practice | 2573 Irma Lake Dr, West Palm Beach, FL 33411-5734 | 2017-03-16 |
| 1871955005 | Alexander Khrestian | General Practice | 1002 Green Pine Blvd Apt E1, West Palm Beach, FL 33409-7011 | 2016-03-26 |
| 1598081416 | Jennifer Lee Guthrie | General Practice | 224 Datura St Ste 315, West Palm Beach, FL 33401-5631 | 2010-04-16 |
| 1093030835 | Rx for Health | General Practice | 1964 S Congress Ave, West Palm Beach, FL 33406-6674 | 2010-04-05 |
| 1831412154 | Center Point Medical LLC | General Practice | 13420 Doubletree Circle, West Palm Beach, FL 33414 | 2010-03-02 |
| 1437399730 | Wilbert R. Del Valle Rivera | General Practice | 2001 Palm Beach Lakes Blvd Ste 400, West Palm Beach, FL 33409-6516 | 2009-02-26 |
| 1922273762 | Injury Treatment Center of West Palm Beach Inc | General Practice | 1195 N Military Trail, Unit #5, West Palm Beach, FL 33409-6058 | 2008-04-23 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on GARY JAY DELLERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.