Organization
DIAMOND URGENT CARE AND PAIN CLINIC CORPORATION
Active
Other names
DIAMOND MEDICAL CENTER CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNSPENCER ARCHINIHU M.D. (OWNER)
(407) 283-4014
Entity
Organization
Contact information
Practice address
1650 W SAND LAKE RD, SUITE 108, ORLANDO, FL 32809-7681
(407) 283-4014
(407) 601-5988
Mailing address
1650 W SAND LAKE RD, SUITE 108, ORLANDO, FL 32809-7681
(407) 283-4014
(407) 601-5988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME68139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279671600
—
FL
Enumeration date
09/21/2011
Last updated
01/12/2012
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