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Organization
DIEZ MEDICAL LLC
Active
Organization
DIEZ MEDICAL LLC
Active
Other names
Diez Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS D DIEZ APRN (MANAGER)
(786) 253-9513
Entity
Organization
Contact information
Practice address
1414 NW 107TH AVE STE 205, SWEETWATER, FL 33172-2741
(786) 253-9513
(786) 933-6651
Mailing address
16881 SW 278TH ST, HOMESTEAD, FL 33031-2745
(786) 253-9513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
08/09/2021
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