Individual
DIANA TERSHAKOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(305) 665-4614
(305) 667-0239
Mailing address
5901 SW 74TH ST, SUITE 202, MIAMI, FL 33143-5165
(305) 665-4614
(305) 667-0239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP864622
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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