Individual
LIEGE ISABEL DIAZ URRUTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 CORAL HILLS DR STE 250, CORAL SPRINGS, FL 33065-4175
(954) 721-5400
(877) 840-6994
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME161493
FL
390200000X
Student in an Organized Health Care Education/Training Program
18682
FL
Other
Enumeration date
06/12/2013
Last updated
09/19/2023
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