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General NPI Number Information
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NPI Number | 1326832585
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Entity Type | Organization
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Legal Business Name | DIABETES CARE MEDICAL
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 8485 BIRD RD STE 305
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City | MIAMI
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State | FL
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Zip | 33155-3262
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Country | US
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Telephone | 305-432-4218
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Fax |
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Provider Business Mailing Address
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Address Line | 3921 ALTON RD # 131
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3852
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Country | US
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Telephone | 786-537-5997
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SERGIO DIAZ
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Credential |
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Telephone | 786-537-5997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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