Individual
LAURA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
13190 SW 134TH ST STE 106, MIAMI, FL 33186-4496
(786) 222-9194
(786) 222-9194
Mailing address
11125 SW 243RD ST, HOMESTEAD, FL 33032-5148
(786) 222-9194
(786) 222-9194
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11038232
FL
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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