Individual
DENNIS LUIS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(305) 740-0823
Mailing address
11601 SW 100TH AVE, MIAMI, FL 33176-4174
(305) 494-4170
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 9283058
FL
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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