Diaz, Desmond L

Diaz, Desmond L is an individual health care provider with primary practice located at 20726 W Pennsylvania Ave , Dunnellon FL 34431-6717. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Diaz, Desmond L can be contacted via phone (352) 465-5880.

Contact Information

Primary practice address
20726 W Pennsylvania Ave Dunnellon FL 34431-6717
Phone: (352) 465-5880
Fax: (352) 465-5889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA51192 Florida

Profile Details

NPI number 1720210222
LBN Legal business name Diaz, Desmond L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2009
Last updated Aug 17th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720210222 NPPES
Florida Other MA51192 STATE LICENSE

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