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Individual

DR. DIYA ABUAITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1531 S DALE MABRY HWY, TAMPA, FL 33629-5808
(813) 302-3083
Mailing address
2802 MAPLE BROOK LOOP, LUTZ, FL 33558-5050
(813) 817-8722

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6069
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/25/2022
Last updated
06/08/2022
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