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Individual
CARLOS DIAZ
Active
Individual
CARLOS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9112604
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PA9112604
FL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
PA9112604
FL
Other
Enumeration date
10/09/2019
Last updated
09/02/2025
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