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1144879495
IVAN DIEGUEZ
MIAMI, FL
NPI
1144879495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: FL ACN1188)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
Dr. IVAN DIEGUEZ MD
3422 SW 154TH CT
MIAMI, FL 33185-4755
Phone number: 786-205-8523
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Mailing Address
Dr. IVAN DIEGUEZ MD
3422 SW 154TH CT
MIAMI, FL 33185-4755
Phone number: 786-205-8523
Copy
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