Skip Navigation

Provider Information for 1750562724

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MR. GUESLY J DELVA M.D.

Gender: MALE

Individual NPI: 1750562724

Calendar   Last Updated:  2016-04-18
  Certification Date: 

Details

Name Value
NPI 1750562724
Enumeration Date 2007-11-19
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address PO BOX 15751
BROOKSVILLE, FL 34604-0123
United States

Phone: 352-559-8849 | Fax:
View Map External Link
Primary Practice Address 7145 MARINER BLVD
SPRING HILL, FL 34609-1048
United States

Phone: 352-559-8849 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other BC/BS REGIONAL MD S062-0459
MEDICAID MD 332805800
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RI0200X - Internal Medicine Infectious Disease FL ME120716
No 207R00000X - Internal Medicine LA MD.210398
No 208000000X - Pediatrics LA MD.210398
No 207RI0200X - Internal Medicine Infectious Disease MD D73083