Organization · Type 2 NPI
Jose M Diaz-Diaz
Health Service Clinic/Center · Lutz, FL
NPI number
1174071807
Active
Practice location
1614 Weaver Dr
Lutz, FL 33559-3334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | ME122262 (FL) |
Health Service Clinic/Center: Definition to come...
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About NPI 1174071807
Jose M Diaz-Diaz's National Provider Identifier is 1174071807, issued on Sep 11, 2016. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Lutz, FL. The record was last updated on Sep 11, 2016.