Individual
MR. MITCHELL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6760 SW 32ND ST, MIAMI, FL 33155-3834
(305) 300-4415
Mailing address
6760 SW 32ND ST, MIAMI, FL 33155-3834
(305) 300-4415
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11029079
FL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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