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Organization

FERNANDO DIEZ, MD

Active
Other names
Fernando Diez, MD, PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FERNANDO JULIAN DIEZ MD (PRESIDENT)
(305) 261-4119
Entity
Organization

Contact information

Practice address
7805 CORAL WAY STE 102, MIAMI, FL 33155-6539
(305) 261-4119
(305) 261-4153
Mailing address
7805 CORAL WAY STE 102, MIAMI, FL 33155-6539
(305) 261-4119
(305) 261-4153

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME32678
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063464600
FL
Enumeration date
09/20/2014
Last updated
09/22/2014
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