Provider Demographics
NPI:1083925002
Name:FIRSTLANTIC HEALTHCARE INC OF WEST FLORIDA
Entity Type:Organization
Organization Name:FIRSTLANTIC HEALTHCARE INC OF WEST FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-COO
Authorized Official - Prefix:
Authorized Official - First Name:BART
Authorized Official - Middle Name:
Authorized Official - Last Name:DELSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-243-7979
Mailing Address - Street 1:2605 W ATLANTIC AVE
Mailing Address - Street 2:BUILDING A202
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4413
Mailing Address - Country:US
Mailing Address - Phone:561-243-7979
Mailing Address - Fax:561-272-6018
Practice Address - Street 1:2127 S TAMIAMI TRL
Practice Address - Street 2:SUITE 27
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229-9695
Practice Address - Country:US
Practice Address - Phone:561-243-7979
Practice Address - Fax:561-272-6018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health