JUAN DIAZ

FORT MYERS, FL
NPI1205385788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PAT 9109751)
Enumeration Date2016-09-26
Last Update Date2022-07-21
Business Address
-- JUAN DIAZ PA
13214 PALM BEACH BLVD
FORT MYERS, FL 33905-2025
Phone number: 239-694-7887
Mailing Address
-- JUAN DIAZ PA
3434 HANCOCK BRIDGE PKWY STE 301
NORTH FORT MYERS, FL 33903-7099
Phone number: 877-856-3774
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