IVAN DIAZ

KISSIMMEE, FL
NPI1205536893
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-03-03
Last Update Date2023-04-06
Business Address
IVAN DIAZ
1621 E VINE ST
KISSIMMEE, FL 34744-3730
Phone number: 407-847-4152
Mailing Address
IVAN DIAZ
1621 E VINE ST
KISSIMMEE, FL 34744-3730
Phone number:
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