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Charles Eugene Diaz
Optician in Lutz, Florida
NPI 1174216626

Charles Eugene Diaz is a Optician based in Lutz, FL and is specialized in Optician. Charles Eugene Diaz practices in Lutz, FL. The NPI Number for Charles Eugene Diaz is 1174216626 and holds a License No. DO3848 (Florida).

The current practice location address for Charles Eugene Diaz is 1575 Land O Lakes Blvd, Lutz, FL and can be reached out via phone at 813-909-2598 and via fax at 813-909-9381.

Location: 1575 Land O Lakes Blvd, Lutz, FL, 33549-2930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174216626
Provider Name
Charles Eugene Diaz
Credential
Provider Entity Type
Individual
Gender
Male
Address
1575 Land O Lakes Blvd, Lutz, FL, 33549-2930
Phone Number
813-909-2598
Fax Number
813-909-9381
Provider Enumeration Date
05/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1575 Land O Lakes Blvd
City
Lutz
State
Florida
Zip
33549-2930
Phone Number
813-909-2598
Fax Number
813-909-9381
person
Provider Business Mailing Address Details
Address
1575 Land O Lakes Blvd
City
Lutz
State
Florida
Zip
33549-2930
Phone Number
813-909-2598
Fax Number
813-909-9381
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
DO3848 (Florida)
Definition
Definition to come...
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