Provider Demographics
NPI:1659818102
Name:DILIGENT CARE LLC
Entity Type:Organization
Organization Name:DILIGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:LLANIO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:786-597-1367
Mailing Address - Street 1:6743 14TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-5405
Mailing Address - Country:US
Mailing Address - Phone:786-597-1367
Mailing Address - Fax:
Practice Address - Street 1:6743 14TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-5405
Practice Address - Country:US
Practice Address - Phone:786-597-1367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11980207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty