Individual
ANAISIS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5500 PINEBROOK RD STE 202, NORTH VENICE, FL 34275-3678
(941) 408-0500
(941) 496-8558
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11019382
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11019382
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115338600
—
FL
Enumeration date
04/24/2022
Last updated
02/09/2026
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