Individual
ERIK ALFONSO DIAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9910 SW 164TH CT, MIAMI, FL 33196-5824
(305) 497-4351
Mailing address
14790 N KENDALL DR # 961434, MIAMI, FL 33196-1481
(305) 203-3343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA79072
FL
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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