| NPI | 1255733325 |
|---|---|
| Doing Business As | FERNANDO DIEZ, MD, PA |
| Entity Type | Organization |
| Authorized Contact | FERNANDO JULIAN DIEZ President 305-261-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME32678) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-22 |