# DIAMOND WELLNESS & MED CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114733631
- **Authorized official:** MONICA PATRICIA PEREZ-PENA (OWNER)
- **Authorized official phone:** (786) 795-1311

## Contact information

- **Practice address:** 1470 NW 107TH AVE STE M, SWEETWATER, FL 33172-2735
- **Practice address phone:** (786) 795-1311
- **Practice address fax:** (786) 795-1311
- **Mailing address:** 1470 NW 107TH AVE STE M, SWEETWATER, FL 33172-2735
- **Mailing address phone:** (786) 795-1311
- **Mailing address fax:** (786) 795-1311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/09/2024
- **Last updated:** 05/14/2026