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1871276899
ANDREW DIAZ
KISSIMMEE, FL
NPI
1871276899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA25143)
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
ANDREW DIAZ
3350 W SOUTHPORT RD
KISSIMMEE, FL 34746-2706
Phone number: 407-846-0152
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Mailing Address
ANDREW DIAZ
9091 ARTIST PL
LAKE WORTH, FL 33467-4707
Phone number:
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