Individual
BRIAN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1251 SW 40TH AVE, DAVIE, FL 33317-5805
(954) 584-2118
Mailing address
3515 NW 94TH AVE, SUNRISE, FL 33351-6434
(954) 478-7087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44798
FL
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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