Individual
DANNY RAYMOND DIAZ
Active
Individual
DANNY RAYMOND DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, PT,DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01595600
NJ
363A00000X
Physician Assistant
25MP00494400
NJ
363A00000X
Physician Assistant
9111731
FL
363AM0700X
Medical Physician Assistant
Primary
9111731
FL
Other
Enumeration date
02/27/2015
Last updated
01/26/2024
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