Individual
JOSE ALEJANDRO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8515 S US HIGHWAY 1 STE 3, PORT SAINT LUCIE, FL 34952-3346
(786) 201-4427
Mailing address
8515 S US HIGHWAY 1 STE 3, PORT SAINT LUCIE, FL 34952-3346
(786) 201-4427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9118235
FL
Other
Enumeration date
12/04/2023
Last updated
01/20/2024
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