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1366901555
IBRAHIM DIAZ
DORAL, FL
NPI
1366901555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11001861)
Enumeration Date
2019-03-18
Last Update Date
2022-10-24
Business Address
IBRAHIM DIAZ APRN
1905 NW 82ND AVE
DORAL, FL 33126-1011
Phone number: 786-420-5924
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Mailing Address
IBRAHIM DIAZ APRN
1905 NW 82ND AVE
DORAL, FL 33126-1011
Phone number: 786-420-5924
Copy
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