Individual
CARLOS MARKOVITCH DIAZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
10587 W 33RD CT, HIALEAH, FL 33018-2115
(786) 328-5996
Mailing address
10587 W 33RD CT, HIALEAH, FL 33018-2115
(786) 328-5996
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-124
FL
Other
Enumeration date
05/28/2015
Last updated
10/15/2020
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