DIAMOND WELLNESS & MED CENTER LLC NPI 1114733631

NPI Information

  • NPI: 1114733631
  • Provider Name: DIAMOND WELLNESS & MED CENTER LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 1470 NW 107TH AVE STE M
    SWEETWATER, FL
    ZIP 33172
  • Phone: (786) 439-6017

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NPI Details

DIAMOND WELLNESS & MED CENTER LLC is a multi-specialty clinic center in Sweetwater, FL. DIAMOND WELLNESS & MED CENTER LLC NPI is 1114733631. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1470 NW 107TH AVE STE M
SWEETWATER, FL
ZIP 33172-735
Phone: (786) 439-6017

The provider's authorized official is Monica Patricia Perez Pena .
The authorized official title is Manager and has the following contact phone number (786) 439-6017.

The enumeration date for this NPI number is 12/9/2024 and was last updated on 12/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171400000XHealth and Wellness CoachNo
2207Q00000XFamily MedicineNo
3208VP0000XPain MedicinePain MedicineNo
4225100000XPhysical TherapistNo
5225700000XMassage TherapistNo
6225X00000XOccupational TherapistNo
7261QM1300XClinic/CenterMulti-SpecialtyYes
8261QP2000XClinic/CenterPhysical TherapyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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