Diversity Health LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIVERSITY HEALTH LLC

Practice address

235 3Rd Ave N Unit 202
St Petersburg, FL 33701-3356

Phone

(727) 275-0812

NPI assigned

May 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Emmanuilidis

Title

Ceo

Phone

(727) 275-0812

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1205400249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 3RD AVE N UNIT 202",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013356",
            "telephone_number": "727-275-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 3RD AVE N UNIT 202",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013356",
            "telephone_number": "727-275-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "EMMANUILIDIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-275-0812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Direct Medical Supply, LLC
• Vanesa Del Pilar Disla de Jesus, M.D.
• Michael Wayne Dismore
• Dispatchhealth-Florida PA
• District Counseling and Divorce Recovery L.L.C.
• Divine Breast Imaging LLC
• Divine Dermatology PLLC
• Cara Dixon-Taliaferro, LMHC
• Dawn Eu'Lette Dixon
• Denise L Dixon

• Durable Medical Equipment & Medical Supplies in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.