HOMESTEAD MEDICAL CLINIC P.A NPI 1487859245

NPI Information

  • NPI: 1487859245
  • Provider Name: HOMESTEAD MEDICAL CLINIC, P.A
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 10D1074265
  • Address: 43 NE 15TH ST
    HOMESTEAD, FL
    ZIP 33030
  • Phone: (783) 243-1909

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NPI Details

HOMESTEAD MEDICAL CLINIC, P.A is a general practice in Homestead, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HOMESTEAD MEDICAL CLINIC, P.A NPI is 1487859245. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

43 NE 15TH ST
HOMESTEAD, FL
ZIP 33030-506
Phone: (783) 243-1909

The provider's authorized official is Marta Isabel Delgado .
The authorized official title is Md and has the following contact phone number (786) 243-1909.

The CLIA number assigned to this NPI record is 10D1074265 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 10/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002281900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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