Healthcare Provider Details

I. General information

NPI: 1255965950
Provider Name (Legal Business Name): DELCIN HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7261 SHERIDAN ST STE 305
HOLLYWOOD FL
33024-2709
US

IV. Provider business mailing address

7261 SHERIDAN ST STE 305
HOLLYWOOD FL
33024-2709
US

V. Phone/Fax

Practice location:
  • Phone: 954-549-7672
  • Fax: 305-402-0941
Mailing address:
  • Phone: 954-549-7672
  • Fax: 305-402-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NADEGE DELCIN-GACON
Title or Position: OWNER
Credential: APRN
Phone: 954-549-7672