Individual
BANIA URBAY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
433 S ROYAL POINCIANA BLVD, APT 406, MIAMI SPRINGS, FL 33166-7274
(786) 923-6326
Mailing address
433 S ROYAL POINCIANA BLVD, APT 406, MIAMI SPRINGS, FL 33166-7274
(786) 923-6326
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PTA26568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA26568
NPI
FL
Enumeration date
05/20/2016
Last updated
05/20/2016
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