Individual
RAFAEL ANGEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1050 SE MONTEREY RD, STE 103, STUART, FL 34994-4512
(772) 283-2020
(772) 220-9582
Mailing address
1050 SE MONTEREY RD, STE 103, STUART, FL 34994-4512
(772) 283-2020
(772) 220-9582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078796500
—
FL
Enumeration date
07/20/2005
Last updated
02/12/2008
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