Individual
KARLA FERNANDEZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3836 PARKSIDE DR, VALRICO, FL 33594-5334
(954) 540-0529
Mailing address
3836 PARKSIDE DR, VALRICO, FL 33594-5334
(954) 540-0529
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
11/26/2024
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