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Organization

CORAL PARK MEDICAL CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARITZA DIAZ M.D. (PRESIDENT)
(305) 225-8444
Entity
Organization

Contact information

Practice address
900 SW 97TH AVE, MIAMI, FL 33174-2935
(305) 225-8444
(305) 225-3020
Mailing address
900 SW 97TH AVE, MIAMI, FL 33174-2935
(305) 225-8444
(305) 225-3020

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME49899
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061498000
FL
01
ME49899
MEDICAL LICENSE
FL
Enumeration date
11/05/2010
Last updated
11/05/2010
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