Organization
ALL CHARACTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DIAZ (MANAGER)
(310) 721-3793
Entity
Organization
Contact information
Practice address
13900 COUNTY ROAD 455, SUITE 107-404, CLERMONT, FL 34711-9052
(352) 404-7815
(352) 404-7814
Mailing address
13900 COUNTY ROAD 455, SUITE 107-404, CLERMONT, FL 34711-9052
(310) 721-3793
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277908100
—
FL
Enumeration date
11/09/2016
Last updated
04/26/2023
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