Individual
JORGE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3083 N.W 28TH ST, MIAMI, FL 33142
(786) 738-7154
Mailing address
3083 N.W 28TH ST, MIAMI, FL 33142
(786) 738-7154
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63039
FL
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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