Su Diaz, Fabio E

Su Diaz, Fabio E is an individual health care provider with primary practice located at 114 N Flagler Ave , Pompano Beach FL 33060-6635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Su Diaz, Fabio E can be contacted via phone (954) 786-0691.

Contact Information

Primary practice address
114 N Flagler Ave Pompano Beach FL 33060-6635
Phone: (954) 786-0691
Fax: (954) 783-2969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME73893 Florida

Profile Details

NPI number 1841305752
LBN Legal business name Su Diaz, Fabio E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jun 13th, 2012 - about 14 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 1841305752 NPPES
Florida MEDICAID 252881900

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