Individual
VICTOR MANUEL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10130 SUNRISE LAKES BLVD, SUNRISE, FL 33322-5865
(954) 415-9054
Mailing address
10130 SUNRISE LAKES BLVD, SUNRISE, FL 33322-5865
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
25-369
FL
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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