Individual
WALTER N DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2721 SW 137TH AVE, 110, MIAMI, FL 33175-6355
(786) 313-3204
(786) 313-3205
Mailing address
2721 SW 137TH AVE, 110, MIAMI, FL 33175-6355
(786) 313-3204
(786) 313-3205
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME101324
FL
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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