Individual
EDUARDO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7227 N US HIGHWAY 1, COCOA, FL 32927-5020
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024216000
—
FL
Enumeration date
03/05/2018
Last updated
10/27/2023
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