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NPI Code Detail

MEDICARE: DIVERSIFIED MEDICAL HEALTH INC

MEDICARE: DIVERSIFIED MEDICAL HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center179354FL

General Provider Information

NPI Number : 1891942389
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVERSIFIED MEDICAL HEALTH INC
Provider Business Mailing Address
First Line : PO BOX 341484
Second Line :
City : TAMPA
State : FL
Zip : 33694-1484
Country : US
Telephone Number : 813-514-4564
Fax Number : 813-879-7211
Provider Business Practice Location Address
First Line : 2707 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33607-2113
Country : US
Telephone Number : 813-514-4564
Fax Number : 813-879-7211
Authorized Official
Title or Position : PRESIDENT
Name : DR. PIER FRANK
Credential : M.D.
Telephone Number : 813-514-4564
Provider Enumeration Date : 08/26/2008
Last Update Date : 01/16/2009

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Directions to “DIVERSIFIED MEDICAL HEALTH INC ” Practice Location

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