JORGE LUIS DIAZ

WEST PALM BEACH, FL
NPI1780691022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP1228482)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- JORGE LUIS DIAZ CRNA
1500 N DIXIE HWY STE 103
WEST PALM BEACH, FL 33401-2712
Phone number: 561-833-8893
Mailing Address
-- JORGE LUIS DIAZ CRNA
PO BOX 16068
HIGH POINT, NC 27261-6068
Phone number: 888-478-1253