Organization
OMNIHEALTHCARE INC
Active
Other names
Space Coast IPA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG K DELIGDISH M.D. (BOARD MEMBER)
(321) 727-3495
Entity
Organization
Contact information
Practice address
95 BULLDOG BLVD, SUITE 202, MELBOURNE, FL 32901-3188
(321) 727-2990
(321) 724-0455
Mailing address
95 BULLDOG BLVD, SUITE 202, MELBOURNE, FL 32901-3188
(321) 727-2990
(321) 724-0455
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/13/2008
Last updated
07/30/2010
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