Diaz, Marcos

Diaz, Marcos is an sole proprietor health care provider with primary practice located at 5449 S Semoran Blvd Ste 19B , Orlando FL 32822-1778. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Diaz, Marcos can be contacted via phone (407) 723-5264.

Contact Information

Primary practice address
5449 S Semoran Blvd Ste 19B Orlando FL 32822-1778
Fax: (407) 249-4472
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH29865 Florida

Profile Details

NPI number 1699473637
LBN Legal business name Diaz, Marcos
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2023
Last updated Feb 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699473637 NPPES
Florida Other DH29865 MEDICAL LICENSE

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