| Manuel Diez, M.d., P.a. | |
|
800 E Broward Blvd Ste 608 Ft Lauderdale FL 33301-2029 | |
| (954) 462-8030 | |
| (954) 462-8090 |
| Full Name | Manuel Diez, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 800 E Broward Blvd Ste 608, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Manuel J Diez Lopez (PRESIDENT) |
| Authorized Official Contact | 9544628030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Diez, M.d., P.a. 800 E Broward Blvd Ste 608 Ft Lauderdale FL 33301-2029 Ph: (954) 462-8030 | Manuel Diez, M.d., P.a. 800 E Broward Blvd Ste 608 Ft Lauderdale FL 33301-2029 Ph: (954) 462-8030 |
| NPI Number | 1518186469 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518186469 | NPI | - | NPPES |
| 1588767115 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME27360 (Florida) | Primary |
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