Individual
TERESA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26701 SW 129TH AVE FL 33032, HOMESTEAD, FL 33032-6943
(305) 773-7373
Mailing address
26701 SW 129TH AVE FL 33032, HOMESTEAD, FL 33032-6943
(305) 773-7373
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.010335
FL
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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