Provider Demographics
NPI:1174631253
Name:DIVERSIFIED HEALTH & INVESTMENTS LLC
Entity Type:Organization
Organization Name:DIVERSIFIED HEALTH & INVESTMENTS LLC
Other - Org Name:DEMERS CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEMERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:321-264-0072
Mailing Address - Street 1:2208 S HOPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-4744
Mailing Address - Country:US
Mailing Address - Phone:321-264-0072
Mailing Address - Fax:321-264-3370
Practice Address - Street 1:2208 S HOPKINS AVE
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-4744
Practice Address - Country:US
Practice Address - Phone:321-264-0072
Practice Address - Fax:321-264-3370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center