Individual
ANTONIO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7836 NW 167TH TER, MIAMI LAKES, FL 33016-3422
(786) 216-4510
Mailing address
7836 NW 167TH TER, MIAMI LAKES, FL 33016-3422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11037208
FL
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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