# OMNIHEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Space Coast IPA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134371933
- **Authorized official:** MR. CRAIG K DELIGDISH M.D. (BOARD MEMBER)
- **Authorized official phone:** (321) 727-3495

## Contact information

- **Practice address:** 95 BULLDOG BLVD, SUITE 202, MELBOURNE, FL 32901-3188
- **Practice address phone:** (321) 727-2990
- **Practice address fax:** (321) 724-0455
- **Mailing address:** 95 BULLDOG BLVD, SUITE 202, MELBOURNE, FL 32901-3188
- **Mailing address phone:** (321) 727-2990
- **Mailing address fax:** (321) 724-0455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2008
- **Last updated:** 07/30/2010