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Individual

MR. DAVID P. DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1713 SW HEALTH PKWY, NAPLES, FL 34109-0502
(239) 597-8000
(239) 597-8095
Mailing address
20411 TALON TRCE, ESTERO, FL 33928-3053
(239) 405-1914

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-3437
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
292372600
FL
Enumeration date
08/30/2006
Last updated
03/19/2014
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