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Individual
KIA A DIAMOND
Active
Individual
KIA A DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
APRN11011794
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11011794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N.A
KIA SMALL
FL
Enumeration date
06/15/2021
Last updated
08/30/2024
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