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Organization

PROVIDER HEALTH SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA E PAZ (PRESIDENT)
(305) 557-3132
Entity
Organization

Contact information

Practice address
3750 W 16 AVE, SUITE 102, HIALEAH, FL 33012
(305) 557-3132
(305) 557-3165
Mailing address
3750 W 16 AVE, SUITE 102, HIALEAH, FL 33012
(305) 557-3132
(305) 557-3165

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
FL
208D00000X
General Practice Physician
Primary
FL

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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