Individual
DIOCELI PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8260 W FLAGLER ST, SUITE 2H, MIAMI, FL 33144-2069
(786) 360-5413
(786) 360-5871
Mailing address
8260 W FLAGLER ST, SUITE 2H, MIAMI, FL 33144-2069
(786) 360-5413
(786) 360-5871
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 57816
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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