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Organization

DIAMOND MED SPA

Active
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Organization

DIAMOND MED SPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW POURANI PA-C (ASSOCIATE)
(305) 482-1415
Entity
Organization

Contact information

Practice address
960 W 41ST ST STE 214, MIAMI BEACH, FL 33140-3349
(305) 482-1415
(305) 905-8174
Mailing address
960 W 41ST ST STE 214, MIAMI BEACH, FL 33140-3349
(305) 482-1415
(305) 905-8174

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/08/2025
Last updated
05/08/2025
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