Active NPI
Diversity Healthcare 'LLC'
- Community/Retail Pharmacy
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DIVERSITY HEALTHCARE 'LLC'
- Practice address
- 435 2ND St NE
Winter Haven, FL 33881-4103 - Phone
- (863) 419-4422
- Fax
- (833) 795-1975
- NPI assigned
- May 15, 2026
- Last updated
- May 15, 2026
- Organization subpart
- Yes
- Parent organization
- DIVERSITY HEALTHCARE 'LLC'
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clayton Dale Reedy
- Title
- Ceo
- Phone
- (937) 307-7891
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
435 2ND St NE
Winter Haven, FL 33881-4103
Mailing address
435 2ND St NE
Winter Haven, FL 33881-4103
Phone (863) 419-4422
National Provider Directory
National Provider Directory- Tax ID family
- Diversity Healthcare 'LLC'
- Part of
- Diversity Healthcare 'LLC'
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Diversity Healthcare
- Primary Care Clinic/Center
- Haines City, FL
- NPI 1144907429
-
- Primary Care Nurse Practitioner
- Winter Haven, FL
- NPI 1780524512
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Winter Haven, FL
- NPI 1558765479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778803200000",
"number": "1730018730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 2ND ST NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814103",
"telephone_number": "863-419-4422",
"fax_number": "833-795-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 2ND ST NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814103",
"telephone_number": "863-419-4422",
"fax_number": "833-795-1975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSITY HEALTHCARE 'LLC'",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIVERSITY HEALTHCARE 'LLC'",
"enumeration_date": "2026-05-15",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A",
"authorized_official_last_name": "REEDY",
"authorized_official_first_name": "CLAYTON",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "937-307-7891"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.