Provider Demographics
NPI:1487009544
Name:DIASPO MEDICAL SERVICES
Entity Type:Organization
Organization Name:DIASPO MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFORTUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-378-0426
Mailing Address - Street 1:2901 SW 149TH AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4141
Mailing Address - Country:US
Mailing Address - Phone:786-378-0426
Mailing Address - Fax:
Practice Address - Street 1:2901 SW 149TH AVE STE 120
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4141
Practice Address - Country:US
Practice Address - Phone:305-678-7714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care