DIAMOND WELLNESS & MED CENTER LLC NPI 1124839618

NPI Information

  • NPI: 1124839618
  • Provider Name: DIAMOND WELLNESS & MED CENTER LLC
  • Classification: Clinic/Center - 261Q00000X
  • 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 clinic center in Sweetwater, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DIAMOND WELLNESS & MED CENTER LLC NPI is 1124839618. 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 Mgr and has the following contact phone number (786) 439-6017.

The enumeration date for this NPI number is 1/15/2025 and was last updated on 1/15/2025.

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
1207QS0010XFamily MedicineSports MedicineNo
2261Q00000XClinic/CenterYes
3261QI0500XClinic/CenterInfusion TherapyNo
4261QP1100XClinic/CenterPodiatricNo
5261QP2000XClinic/CenterPhysical TherapyNo
6261QR0400XClinic/CenterRehabilitationNo
7261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No

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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