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Organization

DESTINY THERAPY CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIONEL DIAZ MD (PRESIDENT)
(786) 409-7430
Entity
Organization

Contact information

Practice address
7480 FAIRWAY DR., SUITE 101, MIAMI LAKES, FL 33014
(786) 409-7430
(786) 953-5949
Mailing address
7480 FAIRWAY DR. SUITE 101, MIAMI LAKES, FL 33014
(786) 409-7430
(786) 953-5949

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
09/05/2017
Last updated
07/21/2022
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