CHARLES EUGENE DIAZ

LUTZ, FL
NPI1174216626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: FL  DO3848)
Enumeration Date2023-05-31
Last Update Date2023-05-31
Business Address
CHARLES EUGENE DIAZ
1575 LAND O LAKES BLVD
LUTZ, FL 33549-2930
Phone number: 813-909-2598
Mailing Address
CHARLES EUGENE DIAZ
1575 LAND O LAKES BLVD
LUTZ, FL 33549-2930
Phone number: 813-909-2598