Organization
DIAZ 10 CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZEQUIEL DIAZ LOPEZ (OWNER)
(786) 558-9009
Entity
Organization
Contact information
Practice address
919 SW 122ND AVE # 10, MIAMI, FL 33184-2477
(786) 558-9009
Mailing address
919 SW 122ND AVE # 10, MIAMI, FL 33184-2477
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
04/01/2025
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