Organization
DIVERSE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYSI MERCEDES CASANOVA (PRESIDENT)
(786) 797-0300
Entity
Organization
Contact information
Practice address
8040 NW 95TH ST STE 227, HIALEAH GARDENS, FL 33016-2361
(786) 797-0300
Mailing address
8040 NW 95TH ST STE 227, HIALEAH GARDENS, FL 33016-2361
(786) 797-0300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
02/19/2025
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