Individual
CHARLES EUGENE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 LAND O LAKES BLVD, LUTZ, FL 33549-2930
(813) 909-2598
(813) 909-9381
Mailing address
1575 LAND O LAKES BLVD, LUTZ, FL 33549-2930
(813) 909-2598
(813) 909-9381
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO3848
FL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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