Organization
ADVANCED MEDICAL DIAMOND GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CHARLESTON D.C. (OWNER)
(561) 278-9005
Entity
Organization
Contact information
Practice address
1055 S CONGRESS AVE, SUITE 1, DELRAY BEACH, FL 33445-6001
(561) 278-9005
(561) 423-0800
Mailing address
1055 S CONGRESS AVE, SUITE 1, DELRAY BEACH, FL 33445-6001
(561) 278-9005
(561) 423-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8492
FL
207Q00000X
Family Medicine Physician
Primary
ME113665
FL
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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