| Organization Name: | AGAPEMD,LLC |
| NPI Number: | 1639561186 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETHZAIRA DIAZ (OWNER) |
| Mailing Address: | 91555 Overseas Hwy Ste 3 Tavernier |
| State: | FL US |
| Postal Code: | 330702505 |
| Phone Number: | 3058529300 |
| Fax Number: | 3058531260 |
| NPI Enumeration Date: | 02/20/2015 |
| NPI Last Update Date: | 04/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | L14000072508 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |