Provider Demographics
NPI:1255433074
Name:FIRSTLANTIC HEALTHCARE, INC
Entity type:Organization
Organization Name:FIRSTLANTIC HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO-OWNER
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:954-382-0300
Mailing Address - Street 1:3201 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3440
Mailing Address - Country:US
Mailing Address - Phone:954-382-0300
Mailing Address - Fax:954-382-0377
Practice Address - Street 1:3201 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3440
Practice Address - Country:US
Practice Address - Phone:954-382-0300
Practice Address - Fax:954-382-0377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health