Individual
JOSE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 N SEMORAN BLVD, ORLANDO, FL 32807-3531
(407) 275-8939
(407) 275-8939
Mailing address
1002 N SEMORAN BLVD, ORLANDO, FL 32807-3531
(407) 275-8939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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