Space Coast Ipa

LBN: Omnihealthcare Inc
Space Coast Ipa is an health care organization with primary practice located at 95 Bulldog Blvd Suite 202, Melbourne FL 32901-3188. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Omnihealthcare Inc can be contacted via phone (321) 727-2990, or through Deligdish, Craig K via phone (321) 727-3495.

Contact Information

Primary practice address
95 Bulldog Blvd Suite 202 Melbourne FL 32901-3188
Phone: (321) 727-2990
Fax: (321) 724-0455
Website:
Map and Directions
Authorized official contact:
Name: Deligdish, Craig K Doctor of Medicine (MD)
Phone: (321) 727-3495

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1134371933
LBN Legal business name Omnihealthcare Inc
DBA Doing business as Space Coast Ipa
Authorized official Deligdish, Craig K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2008
Last updated Jul 30th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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