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Organization

LOYALTY MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN CARIDAD LEAL DIAZ APRN, FNP, PMHNP-BC (OWNER & MANAGING MEMBER)
(305) 244-6868
Entity
Organization

Contact information

Practice address
14145 SW 119TH AVE, MIAMI, FL 33186-6013
(305) 720-8562
Mailing address
PO BOX 343103, HOMESTEAD, FL 33034-0103

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
03/03/2026
Last updated
03/03/2026
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