| Diversified Community Healthcare | |
|
10961 Sw 186th St Cutler Bay FL 33157-6808 | |
| (305) 256-9996 | |
| Not Available |
| Full Name | Diversified Community Healthcare |
|---|---|
| Speciality | General Practice |
| Location | 10961 Sw 186th St, Cutler Bay, Florida |
| Authorized Official Name and Position | Jacqueline Gainza (PRESIDENT) |
| Authorized Official Contact | 3052569996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Community Healthcare 10961 Sw 186th St Cutler Bay FL 33157-6808 Ph: (305) 256-9996 | Diversified Community Healthcare 10961 Sw 186th St Cutler Bay FL 33157-6808 Ph: (305) 256-9996 |
| NPI Number | 1093987059 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 12/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093987059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | HCC8173 (Florida) | Primary |
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