Organization
ENRIQUE DIAZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE DIAZ MD (PRESIDENT)
(786) 525-7255
Entity
Organization
Contact information
Practice address
8720 N KENDALL DR, SUITE 211, MIAMI, FL 33176-2299
(305) 412-6034
(305) 412-6686
Mailing address
9995 SW 72ND ST, SUITE 208, MIAMI, FL 33173-4662
(305) 412-6034
(305) 412-6686
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME100582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME100582
FL LICENSE
FL
Enumeration date
07/21/2008
Last updated
10/22/2012
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