Individual
BRENDA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3125 ONYX CT, ORLANDO, FL 32806-6243
(407) 716-4512
Mailing address
3125 ONYX CT, ORLANDO, FL 32806-6243
(407) 716-4512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
744612
FL
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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