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Individual

MRS. BRENDA DIAZ BLOMELEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8930 SW 198TH TER, CUTLER BAY, FL 33157-8970
(305) 495-8065
Mailing address
8930 SW 198TH TER, CUTLER BAY, FL 33157-8970
(305) 495-8065

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
FL
225X00000X
Occupational Therapist
Primary
9412
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
886734800
FL
Enumeration date
03/12/2009
Last updated
02/04/2026
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