Provider Demographics
NPI:1932125077
Name:DIAMOND MEDICAL ENTERPRISE INC
Entity Type:Organization
Organization Name:DIAMOND MEDICAL ENTERPRISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-410-0984
Mailing Address - Street 1:11200 W FLAGLER ST
Mailing Address - Street 2:SUITE #205
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-4210
Mailing Address - Country:US
Mailing Address - Phone:305-260-0019
Mailing Address - Fax:305-260-0021
Practice Address - Street 1:11200 W FLAGLER ST
Practice Address - Street 2:SUITE #205
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-4210
Practice Address - Country:US
Practice Address - Phone:305-260-0019
Practice Address - Fax:305-260-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty