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Individual

DAVID EMMANUEL DIAZ SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
602 S MAIN ST, GAINESVILLE, FL 32601-6718
(347) 453-7051
Mailing address
602 S MAIN ST, GAINESVILLE, FL 32601-6718
(347) 453-7051

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
04/03/2025
Last updated
10/08/2025
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