Individual
DIANKA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SW 24TH AVE, FORT LAUDERDALE, FL 33312-1450
(954) 366-8151
Mailing address
20200 W DIXIE HWY STE 1108, AVENTURA, FL 33180-1922
(786) 275-3725
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11003364
FL
Other
Enumeration date
07/22/2019
Last updated
01/30/2026
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