Individual
JOSE JUAN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3308 NE 34TH ST, FT LAUDERDALE, FL 33308
(954) 564-3200
(954) 663-9188
Mailing address
3308 NE 34TH ST, FT LAUDERDALE, FL 33308-6906
(954) 564-3200
(954) 663-9188
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS9686
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS9686
FL
Other
Enumeration date
08/16/2006
Last updated
08/15/2018
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