DELTA CORPS DIAGNOSTICS LLC
NPI 1417769894
Anesthesiology - Pain Medicine in Miramar Beach, FL

Q: What is Delta Corps Diagnostics LLC's NPI number?

The NPI number for Delta Corps Diagnostics LLC is 1417769894. It was assigned to this organization in the NPPES registry on January 23, 2025.

Q: What is Delta Corps Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since January 23, 2025

495 GRAND BLVD STE 206, MIRAMAR BEACH, FL 32550(734) 389-5832(813) 489-9562 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Delta Corps Diagnostics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELTA CORPS DIAGNOSTICS LLC (NPI 1417769894) is a healthcare organization registered as a pain medicine in Miramar Beach, Florida and active in the NPI registry since January 2025. The organization lists Gerald Mastaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417769894

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameDELTA CORPS DIAGNOSTICS LLC

Location Address495 GRAND BLVD STE 206Miramar Beach, FL 32550-1897

Mailing Address495 Grand Blvd Ste 206Miramar Beach, FL 32550-1897 · (734) 389-5832

Phone(734) 389-5832

Fax(813) 489-9562

Organization SubpartNo

Authorized OfficialGerald MastawCeo · (734) 389-5832

Enumeration DateJanuary 23, 2025

NPPES CertifiedJanuary 23, 2025

✔ NPI 1417769894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

495 GRAND BLVD STE 206, Miramar Beach, FL 32550

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAITLYN CHURCHMAN ABADIA MSW

Social Worker (Clinical)