Individual
MARIA- JULIA DIACOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 WESTON RD, WESTON, FL 33331-3602
(954) 689-5716
(954) 689-5197
Mailing address
2000 METROPICA WAY APT 1803, SUNRISE, FL 33323-3231
(415) 516-2437
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
2004015122
MO
207ZP0101X
Anatomic Pathology Physician
Primary
ME104397
FL
Other
Enumeration date
04/02/2007
Last updated
07/15/2024
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