Organization
DIVERSIFIED 3 GROUP, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVELINO ALVAREZ (PRESIDENT)
(786) 299-3208
Entity
Organization
Contact information
Practice address
13615 S DIXIE HWY, SUITE 114 # 508, MIAMI, FL 33176-7252
(786) 970-4733
Mailing address
13615 S DIXIE HWY, SUITE 114 # 508, MIAMI, FL 33176-7252
(786) 970-4733
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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