JOSE JUAN DIAZ, DO PA
Physical Therapy at 34 St, Fort Lauderdale, FL

License number
Florida OS9686
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: DR. JOSE JUAN DIAZ DO
Title: PRESIDENT
Phone: (954) 564-3200
Address
Address
3320 NE 34Th St, Fort Lauderdale, FL 33308
National Provider ID: 1447595533
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jose Juan Diaz, D.O.,P.A

110 N Federal Hwy, Ft Lauderdale, FL 33301

Registration:
Sep 24, 2012
State ID:
P12000080889
Business type:
Domestic for Profit Corporation
President, Secretary:
Jose J. Diaz (President, Secretary)
Agent:
Accounting And Taxes 2000 Plus

Jose Juan Diaz DO PA

3320 NE 34 St, Ft Lauderdale, FL 33308

Industry:
Nonclassifiable Establishments, Osteopathic Physician's Office

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