Provider Demographics
NPI:1366780926
Name:DELIGIO, BARBARA A (RPH)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:DELIGIO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3523 BENT WOOD DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7637
Mailing Address - Country:US
Mailing Address - Phone:407-595-6916
Mailing Address - Fax:
Practice Address - Street 1:1950 SAND LAKE RD
Practice Address - Street 2:BLDG 5
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-7632
Practice Address - Country:US
Practice Address - Phone:863-688-1188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS27733183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist