Individual
DR. BLANCA T. DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
8554 PALM PKWY, ORLANDO, FL 32836-6432
(917) 834-6874
Mailing address
955 ARBOR HILL CIR, MINNEOLA, FL 34715-6510
(917) 834-6874
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00312900
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3688
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2009
Last updated
02/06/2015
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