Individual
MR. JONATHAN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13552 NW 7TH ST, PEMBROKE PINES, FL 33028-3140
(954) 592-1046
Mailing address
13552 NW 7TH ST, PEMBROKE PINES, FL 33028-3140
(954) 592-1046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24232
FL
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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