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Organization

DIVINUS HEALTH SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE SUTHERLAND (AUTHORIZED OFFICIAL)
(310) 486-1919
Entity
Organization

Contact information

Practice address
7171 NORTH 9TH AVE UNIT B-8, PENSACOLA, FL 32504
(310) 486-1919
Mailing address
362 GULF BREEZE PKWY # 414, GULF BREEZE, FL 32561-4492

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
12/17/2025
Last updated
12/17/2025
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