Organization
DIVERSIFIED HEALTH CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE GAINZA (ADMINISTRATOR)
(305) 256-9996
Entity
Organization
Contact information
Practice address
10961 SW 186TH ST, CUTLER BAY, FL 33157-6808
(305) 256-9996
Mailing address
10961 SW 186TH ST, CUTLER BAY, FL 33157-6808
(305) 256-9996
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC8173
FL
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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