Organization
OMNI HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG K DELIGDISH MD (BOARD MEMBER)
(321) 727-3495
Entity
Organization
Contact information
Practice address
1344 S APOLLO BLVD STE 406, MELBOURNE, FL 32901-3185
(321) 727-2990
(321) 724-0455
Mailing address
1344 S APOLLO BLVD STE 406, MELBOURNE, FL 32901-3185
(321) 727-2990
(321) 724-0455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
208000000X
Pediatrics Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
101824
FL
213E00000X
Podiatrist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
800001803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030372100
—
FL
05
—
250871100
—
FL
05
—
374370500
—
FL
05
—
374370505
—
FL
05
—
374370507
—
FL
05
—
374370509
—
FL
05
—
374370511
—
FL
05
—
374370512
—
FL
05
—
374370513
—
FL
05
—
374370515
—
FL
05
—
374370517
—
FL
01
—
39254
BLUE CROSS BLUE SHIELD
FL
01
—
CC5293
RAILROAD MEDICARE
FL
Enumeration date
02/02/2006
Last updated
10/02/2025
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