Individual
LUIS C DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1796 N HWY 441, OKEECHOBEE, FL 34973
(863) 763-2151
(863) 763-2151
Mailing address
214 NW PLEASANT GROVE WAY, PORT ST LUCIE, FL 34986-3584
(772) 879-0018
(772) 879-0018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME88391
FL
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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