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Individual

DR. GLORIA E DIAZ-MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3200 SW 60TH COURT, SUITE 302, MIAMI, FL 33155-3009
(305) 662-8345
(786) 703-7527
Mailing address
3200 SW 60TH COURT, SUITE 302, MIAMI, FL 33155-3009
(305) 662-8345
(786) 703-7527

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26034
PR
2084E0001X
Epilepsy Physician
Primary
P3707
TX
2084N0400X
Neurology Physician
104466
MN
2084N0400X
Neurology Physician
52194
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
ME125884
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
P3707
TX

Other

Enumeration date
07/06/2007
Last updated
09/16/2024
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