Individual
ANGELICA DIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-2360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
9115464
FL
Other
Enumeration date
01/22/2022
Last updated
01/06/2023
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