Individual
DR. LEONEL DIAZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1901 SW 172ND AVE, MIRAMAR, FL 33029-5592
(954) 265-6307
Mailing address
1901 SW 172ND AVE, MIRAMAR, FL 33029-5592
(954) 265-6307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS13269
FL
207P00000X
Emergency Medicine Physician
OT013935
PA
Other
Enumeration date
06/22/2011
Last updated
08/26/2015
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