Organization
HEAVEN MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO LEONEL DIAZ APRN (OWNER)
(786) 351-9892
Entity
Organization
Contact information
Practice address
739 E 10TH ST, HIALEAH, FL 33010-3635
(305) 888-7378
Mailing address
739 E 10TH ST, HIALEAH, FL 33010-3635
(305) 888-7378
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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