Individual
ANNERY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1115 STIRLING RD, COOPER CITY, FL 33328
(886) 898-6488
Mailing address
11105 STIRLING RD, COOPER CITY, FL 33328-6316
(886) 898-6488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9265721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003571400
—
FL
01
—
EX885Z
PTAN
FL
Enumeration date
11/23/2010
Last updated
11/02/2022
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