Individual
CARLOS A DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 BRICKELL AVE, MIAMI, FL 33129-1719
(305) 200-6733
Mailing address
8930 SW 68TH CT APT 8, MIAMI, FL 33156-1517
(305) 200-6733
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
MA24712
FL
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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