Individual
MS. SEIRRA DIAMOND ROUNDTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 EUCALYPTUS DR UNIT 2, HOLLYWOOD, FL 33021-7097
(786) 661-7582
Mailing address
3400 HOLLYWOOD BLVD STE 415, HOLLYWOOD, FL 33021-6911
(800) 617-9620
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10066768Z
—
FL
Enumeration date
05/06/2022
Last updated
05/06/2022
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