Individual
MISS MARCO ANTONIO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1865 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4805
(305) 948-9958
(305) 948-9518
Mailing address
1865 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4805
(305) 948-9958
(305) 948-9518
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA46790
FL
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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