DIVERSE MEDICAL CARE LLC
NPI 1639434038
Pain Medicine - Pain Medicine in Boynton Beach, FL
NPI Status: Active since July 11, 2012
Contact Information
2310 SE 2ND ST
SUITE #2
BOYNTON BEACH, FL
ZIP 33435
Phone: (561) 509-9382
Fax: (561) 509-9362
- Organization
- Pain Medicine
- Pain Medicine
- CLIA Number: 10D2024941
- CLIA Cert. Type: Other - MEDICAL CLINIC
- CLIA Exp. Date: 05-25-2027
About DIVERSE MEDICAL CARE LLC
This page provides the complete NPI Profile along with additional information for Diverse Medical Care Llc, a provider established in Boynton Beach, Florida operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1639434038 assigned on July 2012. The practitioner's primary taxonomy code is 208VP0000X with license number PMC 1223 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mary N Atalla (Manager)
- NPI
- 1639434038
- Provider Name
- DIVERSE MEDICAL CARE LLC
- Entity Type
- Organization
- Location Address
- 2310 SE 2ND ST SUITE #2 BOYNTON BEACH, FL 33435
- Location Phone
- (561) 509-9382
- Location Fax
- (561) 509-9362
- Mailing Address
- 4215 S FLAGLER DR WEST PALM BEACH, FL 33405
- Mailing Phone
- (561) 509-9382
- Mailing Fax
- (561) 509-9362
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-11-2012
- Last Update Date
- 07-12-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Pain Medicine
- Taxonomy Code
- 208VP0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- PMC 1223
- License State
- FL
- Taxonomy Description
- Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2024941
- Facility Type
- Other - MEDICAL CLINIC
- Certificate Effective Date
- May 26, 2025
- Certificate Expiration Date
- May 25, 2027
- Laboratory Director
- RYAN N. ROSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Diverse Medical Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DIVERSE MEDICAL CARE LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 4 | 3 | 4 | 0 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 8 | 3 | 8 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 8 + 3 + 8 + 0 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1639434038 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
INTO ACTION TREATMENT, L.L.C.
Substance Abuse Rehabilitation Facility
2310 SE 2ND ST
SUITE 7
BOYNTON BEACH, FL
ZIP 33435
DOCTORS BILLING LLC
Psychiatry & Neurology
(Addiction Psychiatry)
2310 SE 2ND ST
SUITE 7
BOYNTON BEACH, FL
ZIP 33435
MS. KERRY DEBAY MARKS LMHC, ATR-BC, CTS
Counselor
(Mental Health)
2310 SE 2ND ST
SUITE 7
BOYNTON BEACH, FL
ZIP 33435
MRS. TAMI OOMMEN LMHC
Counselor
(Addiction (Substance Use Disorder))
2310 SE 2ND ST
SUITE 7
BOYNTON BEACH, FL
ZIP 33435
LSV BEHAVIOR SERVICES CORP
Behavior Analyst
2310 SE 2ND ST
BOYNTON BEACH, FL
ZIP 33435
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639434038, enumerated as an "organization" on July 11, 2012.
The provider is located at 2310 SE 2ND ST SUITE #2 BOYNTON BEACH, FL 33435 and the phone number is (561) 509-9382.
Pain Medicine with taxonomy code 208VP0000X.
