Organization
DYNASTY PHLEBOTOMY SERVICES LLC
Active
Other names
Dynasty Phlebotomy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY DIGGS III CPT (CEO)
(321) 603-0040
Entity
Organization
Contact information
Practice address
2500 GARDEN ST, TITUSVILLE, FL 32796-2501
(321) 603-0040
(321) 603-0046
Mailing address
2500 GARDEN ST, TITUSVILLE, FL 32796-2501
(321) 603-0040
(321) 603-0046
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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