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  • 687056
CCN: 687056 NPI: 1962967836 Organization

DIVERSE MEDICAL GROUP INC

1570 W 38TH PL UNIT 13
HIALEAH, FL 330127041

Contact Information

  • Phone 3059518777
  • Fax 3058204348
  • Enumeration Date 2019-02-05
  • Last Updated 2025-12-01

Taxonomies

  • Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 33124
providerType 36
censusDivision 3
cbsaActualGeographicLocation 33124
providerType 36
censusDivision 3
cbsaActualGeographicLocation 33124
providerType 36
censusDivision 3
cbsaActualGeographicLocation 33124
providerType 36
censusDivision 3
cbsaActualGeographicLocation 33124
providerType 36
censusDivision 3
cbsaActualGeographicLocation 33124
providerType 36
censusDivision 3
cbsaActualGeographicLocation 33124
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 33124
providerType 36
specialPaymentIndicator
carrierCode 09102
localityCode 04
cbsaActualGeographicLocation 33124
providerType 36
specialPaymentIndicator
carrierCode 09102
localityCode 04
cbsaActualGeographicLocation 33124
providerType 36
specialPaymentIndicator
carrierCode 09102
localityCode 04

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