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Organization

DIAMOND WELLNESS & MED CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA PATRICIA PEREZ-PENA (OWNER)
(786) 795-1311
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
12/09/2024
Last updated
05/14/2026
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