Organization
SOCIAL DIVERSITY LLC
Active
Other names
SUNISS UP
Organization subpart
No
Provider details
NPI number
Authorized official
ESEL AGUILAR OWNER/TCM SUPERVISOR (CEO)
(786) 975-7485
Entity
Organization
Contact information
Practice address
12001 SW 128TH CT STE 101, MIAMI, FL 33186-4665
(786) 975-7485
(954) 860-7166
Mailing address
382 NE 19TH AVE, HOMESTEAD, FL 33033-5265
(786) 975-7485
(954) 860-7166
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108167300
91
FL
Enumeration date
08/04/2021
Last updated
11/05/2022
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