Individual
DR. VIRMARIE DIAZ FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 4TH ST N STE 5102, ST PETERSBURG, FL 33702-4305
(352) 308-1485
(352) 329-4379
Mailing address
7901 4TH ST N STE 5102, ST PETERSBURG, FL 33702-4305
(352) 308-1485
(352) 329-4379
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
21742-875
WI
2084P0800X
Psychiatry Physician
22188
NH
2084P0800X
Psychiatry Physician
43314
AL
2084P0800X
Psychiatry Physician
88427
GA
2084P0800X
Psychiatry Physician
Primary
ME135999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104725400
—
FL
01
—
NN736
MEDICARE HF
FL
Enumeration date
09/24/2014
Last updated
01/09/2023
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