Organization
EXECUTIVE HEALTH OF SOUTH FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL JESUS DIAZ MD (OWNER)
(305) 476-7771
Entity
Organization
Contact information
Practice address
7800 SW 57TH AVE STE 106, SOUTH MIAMI, FL 33143-5551
(305) 476-7771
(305) 442-0121
Mailing address
4131 LAGUNA ST APT 610, CORAL GABLES, FL 33146-1489
(305) 476-7771
(305) 442-0121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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