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NPI Code Detail

MEDICARE: MICHELLE DIAZ PHARMD

MEDICARE: MICHELLE DIAZ PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS47976FL

General Provider Information

NPI Number : 1154608669
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE DIAZ PHARMD
Provider Business Mailing Address
First Line : 14075 BISCAYNE BLVD
Second Line : T-1038
City : NORTH MIAMI BEACH
State : FL
Zip : 33181-1629
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14075 BISCAYNE BLVD
Second Line : T-1038
City : NORTH MIAMI BEACH
State : FL
Zip : 33181-1629
Country : US
Telephone Number : 305-944-8103
Fax Number : 305-945-8346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2011
Last Update Date : 11/11/2011

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Directions to “ MICHELLE DIAZ PHARMD” Practice Location

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