1326078288 NPI number — DELRAY MEDICAL CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326078288 NPI number — DELRAY MEDICAL CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DELRAY MEDICAL CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326078288
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 741211
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30374-1211
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-982-2189
Provider Business Mailing Address Fax Number:
561-982-2509

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5352 LINTON BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DELRAY BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33484-6514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-498-4440
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PAGANO
Authorized Official First Name:
ANGELO
Authorized Official Middle Name:
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
469-893-2327

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  4439 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 290 . This is a "BCBS OF FLORIDA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 259929070 . This is a "AETNA US HEALTHCARE (NATI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 080085 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100258B000000 . This is a "SECTION 1011" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4097106 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 233136 . This is a "COVENTRY HEALTH CARE KANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 990079 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 012009000 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 104065 . This is a "AVMED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 012009000 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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