Individual
DR. EDUARDO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5703 NW 7TH ST, MIAMI, FL 33126-3105
(305) 267-3462
(305) 267-3463
Mailing address
3401 SW 130TH AVE, MIAMI, FL 33175-2723
(786) 385-2814
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME88639
FL
208D00000X
General Practice Physician
ME88639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268166800
—
FL
Enumeration date
06/08/2006
Last updated
07/01/2020
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