Individual
JORGE LUIS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 N DIXIE HWY, STE 103, WEST PALM BEACH, FL 33401-2712
(561) 833-8893
(561) 833-8939
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(888) 478-1253
(336) 884-1643
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1228482
FL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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