Active NPI
Diversified Management Services LLC
- Urgent Care Clinic/Center
- Riverview, FL
National Provider Identifier
1891803433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- DIVERSIFIED MANAGEMENT SERVICES LLC
- Practice address
- 10817 Bloomingdale Ave
Riverview, FL 33569 - Phone
- (813) 662-5437
- Fax
- (813) 655-3025
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis Arnaldo Hernandez, MD
- Title
- President
- Phone
- (813) 872-6722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | FL | Primary |
Addresses
Primary practice location
10817 Bloomingdale Ave
Riverview, FL 33569
Mailing address
2727 W Dr Martin Luther King Jr Blvd
Suite 120
Tampa, FL 33607
Phone (813) 872-6722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B903K | Other | FL | BCBS |
| 292111 | Other | FL | AO MED |
Other names 1
- Now Care for Kids
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891803433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 120",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-872-6722",
"fax_number": "813-872-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10817 BLOOMINGDALE AVE",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "33569",
"telephone_number": "813-662-5437",
"fax_number": "813-655-3025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSIFIED MANAGEMENT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "ARNALDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-872-6722",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "B903K",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AO MED",
"identifier": "292111",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Now Care for Kids",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.