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Individual

JOHN PAUL DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8900 N. KENDALL DR, MIAMI CANCER INSTITUTE, MIAMI, FL 33176-2118
(786) 596-2000
Mailing address
PO BOX 742057, ATLANTA, GA 30374-2057
(786) 594-6880

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
243600
NY
207VX0201X
Gynecologic Oncology Physician
Primary
ME108148
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002712200
FL
Enumeration date
08/14/2008
Last updated
02/16/2021
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