Provider Demographics
NPI:1144789306
Name:SPECIAL DELIVERY HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:SPECIAL DELIVERY HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-224-9333
Mailing Address - Street 1:123 N. KROME AVENUE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030
Mailing Address - Country:US
Mailing Address - Phone:305-224-9333
Mailing Address - Fax:785-581-5532
Practice Address - Street 1:123 N. KROME AVENUE
Practice Address - Street 2:SUITE 101
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030
Practice Address - Country:US
Practice Address - Phone:305-224-9333
Practice Address - Fax:785-581-5532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty