Individual
ADNER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
10711 SW 46TH ST, MIAMI, FL 33165-4838
(305) 260-0416
(305) 260-0416
Mailing address
10711 SW 46TH ST, MIAMI, FL 33165-4838
(305) 260-0416
(305) 260-0416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 41692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA41692
MASSAGE THERAPY
FL
01
—
RCA 6590
REGISTERED CHIROPRACTIC ASSISTANT
FL
Enumeration date
02/06/2012
Last updated
02/06/2012
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