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Mr. Desmond L Diaz
Massage Therapist in Dunnellon, Florida
NPI 1720210222

Desmond L Diaz is a Massage Therapist based in Dunnellon, FL. Desmond L Diaz practices in Dunnellon, FL. The NPI Number for Desmond L Diaz is 1720210222 and holds a License No. MA51192 (Florida).

The current practice location address for Desmond L Diaz is 20726 W Pennsylvania Ave, Dunnellon, FL and can be reached out via phone at 352-465-5880 and via fax at 352-465-5889.

Location: 20726 W Pennsylvania Ave, Dunnellon, FL, 34431-6717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720210222
Provider Name
Desmond L Diaz
Credential
Provider Entity Type
Individual
Gender
Male
Address
20726 W Pennsylvania Ave, Dunnellon, FL, 34431-6717
Phone Number
352-465-5880
Fax Number
352-465-5889
Provider Enumeration Date
08/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA51192 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
20726 W Pennsylvania Ave
City
Dunnellon
State
Florida
Zip
34431-6717
Phone Number
352-465-5880
Fax Number
352-465-5889
person
Provider Business Mailing Address Details
Address
20726 W Pennsylvania Ave
City
Dunnellon
State
Florida
Zip
34431-6717
Phone Number
352-465-5880
Fax Number
352-465-5889
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA51192 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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