Individual
ANA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2619 SW 147TH AVE, MIAMI, FL 33185-5622
(305) 207-0602
Mailing address
2619 SW 147TH AVE, MIAMI, FL 33185-5622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT25463
FL
Other
Enumeration date
09/02/2010
Last updated
06/19/2014
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