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Individual

LUIS E RODRIGUEZ DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3001 W. DR. MARTIN LUTHER KING DRIVE, TAMPA, FL 33607
(813) 350-7244
(813) 350-7246
Mailing address
1900 PURDY AVE APT 2209, MIAMI BEACH, FL 33139-1495

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9190432
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304879900
FL
Enumeration date
03/03/2006
Last updated
07/20/2020
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