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NPI Code Detail

MEDICARE: NATALIE DIAZ

MEDICARE: NATALIE DIAZ
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
1183500000XPharmacistPS64783FL

General Provider Information

NPI Number : 1407578974
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE DIAZ
Provider Business Mailing Address
First Line : 3021 SW 134TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33175-7188
Country : US
Telephone Number : 305-987-0069
Fax Number :
Provider Business Practice Location Address
First Line : 9510 SW 160TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-3300
Country : US
Telephone Number : 305-971-9797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2022
Last Update Date : 09/13/2022

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Directions to “ NATALIE DIAZ ” Practice Location

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