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1134716038
MAIKEL GUERRA DIAZ
HIALEAH, FL
NPI
1134716038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL 11010778)
Enumeration Date
2020-12-26
Last Update Date
2021-09-08
Business Address
MAIKEL GUERRA DIAZ
182 E 49TH ST
HIALEAH, FL 33013-1853
Phone number: 786-484-4096
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Mailing Address
MAIKEL GUERRA DIAZ
11455 W FLAGLER ST APT 604
MIAMI, FL 33174-4016
Phone number: 786-484-4096
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