Individual
JOHANNY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 SW 137TH CT UNIT 14D, MIAMI, FL 33183-2294
(305) 240-7704
Mailing address
6725 SW 137TH CT UNIT 14D, MIAMI, FL 33183-2294
(305) 240-7704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9503173
FL
225700000X
Massage Therapist
Primary
73839
FL
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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