Organization
DIAZ MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RUESCH BS (ADMINISTRATOR)
(813) 385-8089
Entity
Organization
Contact information
Practice address
303 BRYAN RD, SUITE 1, BRANDON, FL 33511-5342
(813) 684-6867
Mailing address
303 BRYAN RD, SUITE 1, BRANDON, FL 33511-5342
(813) 684-6867
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2015
Last updated
07/11/2015
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