MR. Jose A Diaz, PHYSICIAN ASSISTANT

NPI #1760678510 in Miramar, Florida

Provider Information

NPI Number: 1760678510
Entity Type: Individual
Name: MR. Jose A Diaz, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Sep 14, 2007
Last Updated: Sep 14, 2007

Practice Location

Address: 4200 SW 152ND AVE
City: Miramar
State: Florida
ZIP Code: 33027-3363
Phone: (954) 430-3019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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