Individual
MR. ISMAEL DIAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 S PARK RD APT 206, HALLANDALE BEACH, FL 33009-3022
(310) 800-5402
Mailing address
2350 S PARK RD APT 206, HALLANDALE BEACH, FL 33009-3022
(310) 800-5402
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
514532
FL
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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