Individual
ELIANA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 SHORT DR, KISSIMMEE, FL 34759-4025
(407) 435-7695
Mailing address
11722 LYNN BROOK CIR, SEFFNER, FL 33584-7203
(813) 484-2314
(813) 433-5163
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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