Individual
LUZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 N MILLS AVE, ORLANDO, FL 32803-5750
(407) 821-3655
(407) 821-3656
Mailing address
120 OAXACA LN, KISSIMMEE, FL 34743-7019
(407) 431-4831
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9117265
FL
Other
Enumeration date
04/03/2023
Last updated
07/14/2023
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