Individual
DIAMOND MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3850 SHERIDAN ST, HOLLYWOOD, FL 33021-3634
(954) 989-5255
(954) 962-6445
Mailing address
3850 SHERIDAN ST, HOLLYWOOD, FL 33021-3634
(954) 989-5255
(954) 962-6445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00307106
RAILROAD MEDICARE
FL
01
—
Y914R
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/13/2007
Last updated
07/08/2007
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