Diaz, Amanda J

Diaz, Amanda J is an individual health care provider with primary practice located at 403 Lafayette St , Port Orange FL 32127-4437. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Diaz, Amanda J can be contacted via phone (386) 852-8737.

Contact Information

Primary practice address
403 Lafayette St Port Orange FL 32127-4437
Phone: (386) 852-8737
Fax: (386) 868-5324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA49043 Florida

Profile Details

NPI number 1265683510
LBN Legal business name Diaz, Amanda J
Credentials L.M.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2008
Last updated Oct 6th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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