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Individual

PEDRO O DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2387 W 68TH ST, SUITE 503, HIALEAH, FL 33016-6889
(305) 558-0720
(305) 558-8847
Mailing address
2387 W 68TH ST, SUITE 503, HIALEAH, FL 33016-6889
(305) 558-0720
(305) 558-8847

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 0048134
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045298000
FL
Enumeration date
03/17/2006
Last updated
10/12/2011
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