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Jose
Jose
Diaz
Pediatric critical care medicine
Medical doctor
Fort Myers,
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
JOSE DIAZ
Job Title
Medical Doctor
Location
Ft Myers
LIC ID
72484
Current License Expiration Date
31/01/2026
Original Date
08/07/2002
Professional Rank Code
ME
Effective Date
08/07/2002
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LEE
Practice Location Address Line 1
9981 S. HEALTHPARK DRIVE
Practice Location Address City
FT MYERS
Practice Location Address State
FL
Practice Location Address Zipcode
33908
Prescribing Indicator
Y
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