Diaz, Ivan

Diaz, Ivan is an sole proprietor health care provider with primary practice located at 1621 E Vine St , Kissimmee FL 34744-3730. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Diaz, Ivan can be contacted via phone (407) 847-4152.

Contact Information

Primary practice address
1621 E Vine St Kissimmee FL 34744-3730
Phone: (407) 847-4152
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1205536893
LBN Legal business name Diaz, Ivan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2023
Last updated Apr 6th, 2023 - about 2 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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