Individual
DR. JOSE RAUL GARRIGA-DIAZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7906 E US HIGHWAY 90, LAKE CITY, FL 32055-6290
(386) 755-3379
(386) 752-2242
Mailing address
4014 NW COLONIAL GLN, LAKE CITY, FL 32055-4856
(386) 754-0156
(386) 752-2242
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
011873
PR
208D00000X
General Practice Physician
Primary
ACN140
FL
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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