Individual
HALEY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 SW 169TH AVE, PEMBROKE PINES, FL 33027-1006
(786) 901-2972
Mailing address
130 SW 169TH AVE, PEMBROKE PINES, FL 33027-1006
(786) 901-2972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9117347
FL
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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