Diversified Therapeutics Inc

LBN: Diversified Therapeutics Inc
Diversified Therapeutics Inc is an health care organization with primary practice located at 613 Se Central Parkway , Stuart FL 34994. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as the primary health care specialty. Diversified Therapeutics Inc can be contacted via phone (772) 221-7638, or through Jackson, Calvin Lee via phone (772) 221-7638.

Contact Information

Primary practice address
613 Se Central Parkway Stuart FL 34994
Phone: (772) 221-7638
Fax: (772) 221-7628
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Calvin Lee LMT, CPT
Phone: (772) 221-7638

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA0018459 Florida

Profile Details

NPI number 1700027984
LBN Legal business name Diversified Therapeutics Inc
DBA Doing business as
Authorized official Jackson, Calvin Lee LMT, CPT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2009
Last updated Mar 17th, 2009 - 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 1700027984 NPPES
Florida Other C8068 BLUE CROSS BLUE SHIELD

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