Individual
DANIELLA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3850 BIRD RD STE 104, MIAMI, FL 33146-1507
(305) 669-8337
Mailing address
6867 GRANADA BLVD, CORAL GABLES, FL 33146-3823
(786) 683-3970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115063
FL
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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