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NPI Code Detail

MEDICARE: WENDY BROWN DIAZ LMT

MEDICARE:   WENDY  BROWN DIAZ  LMT
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
1225700000XMassage TherapistMA28597FL

General Provider Information

NPI Number : 1659771871
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY BROWN DIAZ LMT
Provider Business Mailing Address
First Line : 8234 NEWBURY SOUND LN
Second Line :
City : ORLANDO
State : FL
Zip : 32829-7673
Country : US
Telephone Number : 407-928-1400
Fax Number :
Provider Business Practice Location Address
First Line : 8234 NEWBURY SOUND LN
Second Line :
City : ORLANDO
State : FL
Zip : 32829-7673
Country : US
Telephone Number : 407-928-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2014
Last Update Date : 09/10/2024

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Directions to “ WENDY BROWN DIAZ LMT” Practice Location

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