# EXECUTIVE HEALTH OF SOUTH FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881534675
- **Authorized official:** DR. MANUEL JESUS DIAZ MD (OWNER)
- **Authorized official phone:** (305) 476-7771

## Contact information

- **Practice address:** 7800 SW 57TH AVE STE 106, SOUTH MIAMI, FL 33143-5551
- **Practice address phone:** (305) 476-7771
- **Practice address fax:** (305) 442-0121
- **Mailing address:** 4131 LAGUNA ST APT 610, CORAL GABLES, FL 33146-1489
- **Mailing address phone:** (305) 476-7771
- **Mailing address fax:** (305) 442-0121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2026
- **Last updated:** 03/31/2026