Individual
MRS. EILEEN AGNES DIAZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
5599 N DIXIE HWY, VETERANS ADMINISTRATION OPOPC, OAKLAND PARK, FL 33334-3406
(954) 229-7604
(954) 229-7771
Mailing address
4150 NW 9TH CT, COCONUT CREEK, FL 33066-1645
(954) 972-7059
(954) 229-7771
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP715812
FL
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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