OMNIHEALTHCARE INC (NPI# 1134371933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134371933 |
| Entity Type | Organization |
| Organization Name | OMNIHEALTHCARE INC |
| Other Organization Name | SPACE COAST IPA |
| Practice Address |
95 Bulldog Blvd Suite 202 Melbourne FL 32901-3188 |
| Practice Telephone | 3217272990 |
| Practice Fax Number | 3217240455 |
| Mailing Telephone | 3217272990 |
| Mailing Fax Number | 3217240455 |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | MR. CRAIG K DELIGDISH (BOARD MEMBER) |
| Authorized Official Telephone | 3217273495 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Space Coast IPA | Doing Business As Name - Organization |
| Street Address |
95 BULLDOG BLVD SUITE 202 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594584 | Sheridan Surgery Center | Clinic/Center | 95 Bulldog Blvd, Ste104, Melbourne, FL 32901-3332 | 2006-02-01 |
| 1164939971 | Beachside Anesthesia Inc | Anesthesiology | 95 Bulldog Blvd, Melbourne, FL 32901-3332 | 2018-01-02 |
| 1013309459 | Melbourne Surgery Center, LLC | Clinic/Center | 95 Bulldog Blvd, Suite 104, Melbourne, FL 32901-3332 | 2015-02-23 |
| 1013353200 | Melbourne Medical Laboratory LLC | Clinical Medical Laboratory | 95 Bulldog Blvd, Suite 103, Melbourne, FL 32901-3332 | 2013-05-15 |
| 1346355104 | Sharon Vargo | Registered Nurse | 95 Bulldog Blvd, Ste 101, Melbourne, FL 32901-3332 | 2006-08-20 |
| 1508880865 | Kathleen Evans | Nutritionist | 95 Bulldog Blvd, Ste 101, Melbourne, FL 32901-3332 | 2006-07-27 |
| 1053384123 | Marianne Benek-edwards | Physical Therapist | 95 Bulldog Blvd, Ste 200, Melbourne, FL 32901-3332 | 2006-02-09 |
| 1134191323 | Omni Healthcare, Inc. | Family Medicine | 95 Bulldog Blvd, Ste 202, Melbourne, FL 32901-3332 | 2006-02-02 |
| 1598736985 | Omni Healthcare, Inc. | Clinical Medical Laboratory | 95 Bulldog Blvd, Ste 202, Melbourne, FL 32901-3332 | 2006-02-01 |
| 1699751529 | Reinaldo Gaspar Tirado-bernardini | Internal Medicine | 95 Bulldog Blvd, Ste 101, Melbourne, FL 32901-3332 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836361 | Space Coast Health Care Network | General Practice | 1344 S Apollo Blvd Ste 303, Melbourne, FL 32901-3185 | 2018-10-08 |
| 1750899837 | Nu-me Medical Clinic Inc | General Practice | 3150 N Wickham Rd Ste 9, Melbourne, FL 32935-2322 | 2018-01-11 |
| 1629520606 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd Ste 104, Melbourne, FL 32940-8257 | 2016-10-26 |
| 1700256450 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd, Suite 104, Melbourne, FL 32940-8257 | 2015-10-06 |
| 1659490712 | John Donovan | General Practice | 201 Plantation Club Dr Apt 1012, Melbourne, FL 32940-1932 | 2007-03-28 |
| 1275008716 | Central Florida Wellness LLC | General Practice | 1800 W Hibiscus Blvd Ste 131, Melbourne, FL 32901-2633 | 2018-10-11 |
| 1356883771 | Marathon Health, Inc. | General Practice | 2694 Judge Fran Jamieson Way, C/o Brevard Wellcare- Central, Melbourne, FL 32940 | 2016-11-16 |
| 1568851632 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2015-01-13 |
| 1629476098 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2014-12-16 |
| 1033456959 | Linette Cintron-medina | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2013-01-11 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.