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1912669409
JASON LEE DIAZ
FORT LAUDERDALE, FL
NPI
1912669409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9115038)
Enumeration Date
2021-10-12
Last Update Date
2022-11-22
Business Address
JASON LEE DIAZ PA-C
3690 DAVIE BLVD
FORT LAUDERDALE, FL 33312-3440
Phone number: 954-833-0010
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Mailing Address
JASON LEE DIAZ PA-C
2210 SW 87TH WAY
MIRAMAR, FL 33025-2020
Phone number: 954-665-7003
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