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Individual
JUAN CARLOS DE ARREDONDO DIAZ
Active
Individual
JUAN CARLOS DE ARREDONDO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
13-573
CO
363LF0000X
Family Nurse Practitioner
Primary
APRN11006151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012833
FLORIDA BLUE
FL
Enumeration date
07/31/2015
Last updated
02/26/2020
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