Organization
WHITE DIAMOND MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M DE LA MONEDA (OWNER)
(786) 208-7224
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, 569, DORAL, FL 33166-6556
(786) 208-7224
(786) 364-0192
Mailing address
3900 NW 79TH AVE, 569, DORAL, FL 33166-6556
(786) 208-7224
(786) 364-0192
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
FL
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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