Individual
LAZARO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
445 NW 4TH ST, APT 1307, MIAMI, FL 33128-1688
(786) 253-1407
Mailing address
13665 SW 99TH ST APT 1307, MIAMI, FL 33186-2807
(786) 253-1407
(305) 230-7601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276689292
—
FL
Enumeration date
02/12/2015
Last updated
07/26/2021
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