Healthcare Provider Details

I. General information

NPI: 1194199455
Provider Name (Legal Business Name): MR. DELROY P HART
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9363-4AA-11B ESTATE THOMAS
ST THOMAS VIRGIN ISLANDS (VI)
00802
UM

IV. Provider business mailing address

9363-4AA-11B ESTATE THOMAS
ST THOMAS VI
00802
US

V. Phone/Fax

Practice location:
  • Phone: 340-513-3840
  • Fax:
Mailing address:
  • Phone: 340-513-3840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: