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Jose M Diaz-diaz
Health Service Clinic/Center in Lutz, Florida
NPI 1174071807

Jose M Diaz-diaz is a Health Service Clinic/Center based in Lutz, FL and is specialized in Health Service. Jose M Diaz-diaz practices in Lutz, FL. The NPI Number for Jose M Diaz-diaz is 1174071807 and holds a License No. ME122262 (Florida).

The current practice location address for Jose M Diaz-diaz is 1614 Weaver Dr, Lutz, FL and can be reached out via phone at 787-306-4284.

Location: 1614 Weaver Dr, Lutz, FL, 33559-3334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174071807
Provider Name
Jose M Diaz-diaz
Credential
Provider Entity Type
Organization
Address
1614 Weaver Dr, Lutz, FL, 33559-3334
Phone Number
787-306-4284
Fax Number
Provider Enumeration Date
09/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497792162 01 PR NPI
institution
Provider Business Practice Location Address Details
Address
1614 Weaver Dr
City
Lutz
State
Florida
Zip
33559-3334
Phone Number
787-306-4284
Fax Number
person
Provider Business Mailing Address Details
Address
1614 Weaver Dr
City
Lutz
State
Florida
Zip
33559-3334
Phone Number
787-306-4284
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
ME122262 (Florida)
Definition
Definition to come...
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