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Individual
MANUEL DIAZ
Active
Individual
MANUEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
FLME0062181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371538800
—
FL
01
—
FLME0062181
WORKERS COMPENSATION
FL
Enumeration date
06/06/2007
Last updated
10/07/2011
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