Individual
TANIA GONZALEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18463 NW 52ND PSGE, MIAMI GARDENS, FL 33055-2398
(786) 269-1606
Mailing address
3621 SW 107TH AVE, MIAMI, FL 33165-3636
(786) 534-8366
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11015458
FL
Other
Enumeration date
09/29/2021
Last updated
07/28/2022
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