Individual
RACIEL VICTORIANO MAROTO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 NW 107TH AVE STE 310, SWEETWATER, FL 33172-2746
(786) 542-5043
Mailing address
1400 NW 107TH AVE STE 310, SWEETWATER, FL 33172-2746
(786) 542-5043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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