Individual
MS. SANDRA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4495 MILITARY TRL STE 101, JUPITER, FL 33458-4838
(561) 799-3722
(561) 799-3692
Mailing address
1395 S STATE ROAD 7 STE 450, WELLINGTON, FL 33414-9328
(561) 798-1233
(561) 798-1655
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME143366
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
03/28/2016
Last updated
02/08/2022
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