Individual
ERNESTO DIAZ OLIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSC CCC SLP
Contact information
Practice address
8491 NW 17TH ST STE 113, DORAL, FL 33126-1025
(305) 456-5542
(305) 456-8779
Mailing address
1109 SW 85TH CT, MIAMI, FL 33144-4063
(786) 728-0141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15401
FL
Other
Enumeration date
08/24/2009
Last updated
01/15/2018
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