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1841771219
WILFREDO DIAZ
TAMPA, FL
NPI
1841771219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 28601)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
WILFREDO DIAZ PTA
4895 W WATERS AVE
TAMPA, FL 33634-1316
Phone number: 813-932-3315
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Mailing Address
WILFREDO DIAZ PTA
1302 HIGH HAMMOCK DR APT 301
TAMPA, FL 33619-7621
Phone number: 407-437-8084
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