Individual
BRANDON ALAN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11760 SW 40TH ST STE 301, MIAMI, FL 33175-3595
(786) 428-1059
(786) 428-1062
Mailing address
8581 SW 109TH AVE, MIAMI, FL 33173-4427
(305) 505-3836
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME164276
FL
Other
Enumeration date
06/22/2016
Last updated
12/06/2023
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