Individual
MR. JOSE A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4200 SW 152ND AVE, MIRAMAR, FL 33027-3363
(954) 430-3019
(954) 431-0617
Mailing address
4200 SW 152ND AVE, MIRAMAR, FL 33027-3363
(954) 430-3019
(954) 431-0617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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