Diamond Heart Inc

LBN: Diamond Heart Inc
Diamond Heart Inc is an health care organization with primary practice located at 3959 S Nova Rd Ste 1 , Port Orange FL 32127-4900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Diamond Heart Inc can be contacted via phone (386) 767-0557, or through Mitry, Atef Farah via phone (386) 767-0557.

Contact Information

Primary practice address
3959 S Nova Rd Ste 1 Port Orange FL 32127-4900
Fax: (386) 767-3251
Website:
Authorized official contact:
Name: Mitry, Atef Farah PHYSICAL THERAPIST

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT 10588 Florida

Profile Details

NPI number 1447420963
LBN Legal business name Diamond Heart Inc
DBA Doing business as
Authorized official Mitry, Atef Farah PHYSICAL THERAPIST
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2008
Last updated Mar 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447420963 NPPES
Florida Other CB2957 MEDICARE RAILROAD

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