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1174569701
ELAINE DIAZ
SUNRISE, FL
NPI
1174569701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL OS9707)
Enumeration Date
2006-06-21
Last Update Date
2007-07-08
Business Address
-- ELAINE DIAZ DO
1613 HARRISON PKWY #200
SUNRISE, FL 33323-2853
Phone number: 954-838-2371
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Mailing Address
-- ELAINE DIAZ DO
PO BOX 452169
SUNRISE, FL 33345-2169
Phone number:
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