Diversified American, Corp
Clinic/Center in Miami, FL(View on Map)
Legal Business Name
Diversified American, Corp
NPI Number
1023256229
NPI Type
Organization
Enumeration Date
01/26/2009
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
14629 SW 104 ST
14629 SW 104 ST
City
Miami
Miami
State
FL
FL
Postal Code
33186
33186
Country
US
US
Telephone Number
(786) 447-0931
(786) 447-0931
Authorized Official
Name
Eladio Rives
Title or Position
PRESIDENT
Telephone Number
(786) 447-0931
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/26/2009
Provider Address
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