Individual
ANDREW DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3350 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(407) 846-0152
Mailing address
9091 ARTIST PL, LAKE WORTH, FL 33467-4707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25143
FL
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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