Individual
ANTONIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1905 NW 82ND AVE, DORAL, FL 33126-1011
(305) 406-9585
(305) 406-9478
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
CNA41175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000755300
—
FL
Enumeration date
09/26/2006
Last updated
04/23/2009
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