Individual
ANGELA G DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
515 W STATE ROAD 434 STE 105, LONGWOOD, FL 32750-5161
(407) 260-6000
(407) 260-2133
Mailing address
7600 W SUNRISE BLVD, MAIL STOP-PL-31, PLANTATION, FL 33322-4115
(407) 697-8356
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3404772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114970900
—
FL
05
—
307655500
—
FL
Enumeration date
06/06/2006
Last updated
10/09/2024
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