Individual
MRS. VIVIEN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 W 60TH ST, HIALEAH, FL 33012-7504
(305) 556-2020
(305) 556-9686
Mailing address
1931 W 60TH ST, HIALEAH, FL 33012-7504
(305) 556-2020
(305) 556-9686
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1173
FL
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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