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Individual

SUSANA DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-6576
Mailing address
10030 SW 41ST ST, MIAMI, FL 33165-5033

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS64342
FL

Other

Enumeration date
11/25/2025
Last updated
11/25/2025
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