Individual
DIANA MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5590 W 20TH AVE STE 400-401, HIALEAH, FL 33016-7070
(305) 825-4320
(305) 825-8117
Mailing address
9460 FONTAINEBLEAU BLVD APT 220, MIAMI, FL 33172-7522
(786) 218-8780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
04/30/2019
Last updated
08/19/2021
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