CARLOS DIAZ

TAMPA, FL
NPI1972808020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: FL  MA61242)
Enumeration Date2011-01-21
Last Update Date2011-01-21
Business Address
-- CARLOS DIAZ LMT
6009 W FERN ST
TAMPA, FL 33634-5136
Phone number: 813-841-0143
Mailing Address
-- CARLOS DIAZ LMT
6009 W FERN ST
TAMPA, FL 33634
Phone number: 813-841-0143
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