Individual
ANA MARIA DIAZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10900 NW 25TH ST STE 104, DORAL, FL 33172-1922
(786) 804-9521
Mailing address
10900 NW 25TH ST STE 104, DORAL, FL 33172-1922
(786) 804-9521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MA88568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D263013776270
FLORIDA DRIVERS LICENSE NUMBER
FL
Enumeration date
11/03/2020
Last updated
11/03/2020
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