Individual
DIAMOND FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
180 SW 84TH AVE, PLANTATION, FL 33324-2731
(844) 665-4827
Mailing address
20525 NW 3RD AVE, MIAMI GARDENS, FL 33169-2521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11040362
FL
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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