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Organization

DIVERSE MEDICAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY N ATALLA (MANAGER)
(561) 509-9382
Entity
Organization

Contact information

Practice address
2310 SE 2ND ST, SUITE #2, BOYNTON BEACH, FL 33435-7280
(561) 509-9382
(561) 509-9362
Mailing address
4215 S FLAGLER DR, WEST PALM BEACH, FL 33405-2705
(561) 509-9382
(561) 509-9362

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
PMC 1223
FL

Other

Enumeration date
07/11/2012
Last updated
07/12/2012
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