DR. Leslie Kent Diaz SR., OD

NPI #1750639126 in Venice, Florida

Provider Information

NPI Number
1750639126
Entity Type
Individual
Name
DR. Leslie Kent Diaz SR., OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Aug 16, 2012
Last Updated
Aug 16, 2012

Practice Location

Address
4150 TAMIAMI TRL S
City
Venice
State
Florida
ZIP Code
34293-5130
Phone
(941) 497-5555

Specialties & Taxonomy Codes

Specialty
Optometrist

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