Individual
DEBORAH JANE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
2800 S SEACREST BLVD STE 140, BOYNTON BEACH, FL 33435-7943
(561) 734-2746
(561) 734-4705
Mailing address
2800 S SEACREST BLVD STE 140, BOYNTON BEACH, FL 33435-7943
(561) 734-2746
(561) 734-4705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9104741
MEDICAL LICENSE
FL
Enumeration date
10/09/2008
Last updated
04/02/2020
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