Individual
LILYAM DIAZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(305) 964-5824
(305) 964-5824
Mailing address
13840 SW 112TH ST APT 204, MIAMI, FL 33186-3222
(602) 475-7385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCM.0107484-P
FL
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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