Provider Demographics
NPI:1790432086
Name:DIVERSE CARE NOW, LLC
Entity Type:Organization
Organization Name:DIVERSE CARE NOW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:UCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:754-752-1888
Mailing Address - Street 1:2700 NE 14TH ST # 101
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-3561
Mailing Address - Country:US
Mailing Address - Phone:754-752-1888
Mailing Address - Fax:
Practice Address - Street 1:2700 NE 14TH ST # 101
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-3561
Practice Address - Country:US
Practice Address - Phone:754-752-1888
Practice Address - Fax:754-752-1908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty