Individual
ALEX DIAZ SURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1426 NE 5TH AVE, CAPE CORAL, FL 33909-1023
(239) 328-4746
Mailing address
1426 NE 5TH AVE, CAPE CORAL, FL 33909-1023
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-333501
FL
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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