Individual
MR. JESUS MARIO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HAS-NBC-HIS
Contact information
Practice address
8870 SW 40TH ST, SUITE #7, MIAMI, FL 33165-5465
(786) 621-4253
(786) 621-4254
Mailing address
8870 SW 40TH ST, SUITE #7, MIAMI, FL 33165-5465
(786) 621-4253
(786) 621-4254
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS2802
FL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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