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1699479204
JUAN MANUEL DIAZ HERNANDEZ
MIAMI, FL
NPI
1699479204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
JUAN MANUEL DIAZ HERNANDEZ MD
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-585-1111
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Mailing Address
JUAN MANUEL DIAZ HERNANDEZ MD
683 MIRROR LAKES CT
LEHIGH ACRES, FL 33974-9542
Phone number: 239-246-6613
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