Individual
MICHELLE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
2212 S CHICKASAW TRL # 1044, ORLANDO, FL 32825-8414
(407) 758-1162
Mailing address
509 S CHICKASAW TRL # 273, ORLANDO, FL 32825-7801
(407) 758-1162
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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