DR. PEARLENE S. GARDBERG-DELUCA (NPI# 1720199300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720199300 |
| Entity Type | Individual |
| Full Name | DR. PEARLENE S. GARDBERG-DELUCA |
| Credential | PSYD |
| Practice Address |
378 Center Pointe Circle Suite 1280 Altamonte Springs FL 32701-3442 |
| Practice Telephone | 4078625959 |
| Practice Fax Number | 4077745573 |
| Mailing Telephone | 4078625959 |
| Mailing Fax Number | 4077745573 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY0004744 | FL | Behavioral Health & Social Service Providers |
| Street Address |
378 CENTER POINTE CIRCLE SUITE 1280 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114930633 | Joseph Nicholas Deluca | Psychologist | 378 Center Pointe Circle, Suite 1280, Altamonte Springs, FL 32701-3442 | 2006-08-14 |
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| 1720524812 | Paula Paton | Nurse Practitioner | 249 Maitland Avenue, Suite 1000, Altamonte Springs, FL 32701 | 2017-01-12 |
| 1639521800 | Mohamed Samy Elwany | Audiologist | 600 E Altamonte Drive, Suite 1700, Altamonte Springs, FL 32701 | 2016-07-12 |
| 1780061267 | Rogers Massage Therapy Clinic | Point of Service | 1061 East Altamonte Dr, Suite 1019, Altamonte Springs, FL 32701 | 2015-05-04 |
| 1598160145 | New Smile Dentistry of Altamonte Springs, Pa | Dentist | 512 E Altamonte Drive, Altamonte Springs, FL 32701 | 2014-10-24 |
| 1083035802 | Amanda Hirsch | Nurse Practitioner | 150 Cranes Roost Blvd, Suite 1220, Altamonte Springs, FL 32701 | 2013-12-20 |
| 1952731143 | Don M. Preble | Dentist | 499 E. Central Parkway Ste 220, Altamonte Springs, FL 32701 | 2013-11-25 |
| 1366883548 | Jose Rafael Navarro | Dentist | 305 East Altamonte Drive, Suite 1020, Altamonte Springs, FL 32701 | 2013-07-16 |
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| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114220829 | Joseph N Deluca, Phd, Pa | Psychologist | 378 Centerpointe Circle, Suite 1280, Altamonte Springs, FL 32701 | 2010-12-20 |
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| 1902445687 | Recovery Bay, LLC | Psychologist | 9721 Thomas Dr, Panama City Beach, FL 32408-3811 | 2019-12-30 |
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| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
Please comment or provide details below to improve the information on DR. PEARLENE S. GARDBERG-DELUCA.
| 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.