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Ms. Jessy Diaz, PA-C
Medical Physician Assistant in Pinecrest, Florida
NPI 1487955902

Jessy Diaz is a Medical Physician Assistant based in Pinecrest, FL and is specialized in Medical. Jessy Diaz practices in Pinecrest, FL and has the professional credentials of PA-C. The NPI Number for Jessy Diaz is 1487955902 and holds a License No. PA9105581 (Florida).

The current practice location address for Jessy Diaz is 7700 Sw 104Th St, Pinecrest, FL and can be reached out via phone at 305-279-7546.

Location: 7700 Sw 104Th St, Pinecrest, FL, 33156-3149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487955902
Provider Name
Jessy Diaz
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
7700 Sw 104Th St, Pinecrest, FL, 33156-3149
Phone Number
305-279-7546
Fax Number
Provider Enumeration Date
11/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9105581 01 FL PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
7700 Sw 104Th St
City
Pinecrest
State
Florida
Zip
33156-3149
Phone Number
305-279-7546
Fax Number
person
Provider Business Mailing Address Details
Address
7700 Sw 104Th St
City
Pinecrest
State
Florida
Zip
33156-3149
Phone Number
305-279-7546
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9105581 (Florida)
Definition
Definition to come...
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