Individual
MR. ALEXANDER DIAZ PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23231 SW 111TH AVE, HOMESTEAD, FL 33032-5189
(786) 614-3501
Mailing address
23231 SW 111TH AVE, HOMESTEAD, FL 33032-5189
(786) 614-3501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11021971
FL
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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