Individual
GABRIEL JOSE DIAZ CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 844-1402
Mailing address
101 NW 46TH TER, PLANTATION, FL 33317-3150
(786) 337-1019
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
166413
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/07/2020
Last updated
02/03/2024
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