Individual
GUILLERMO DIAZ -VICTORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(305) 964-5824
(305) 964-5824
Mailing address
495 NE 5TH WAY, FLORIDA CITY, FL 33034-3295
(786) 942-4586
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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