Individual
MRS. JEAN IDA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
Mailing address
12530 WESTFIELD LAKES CIR, WINTER GARDEN, FL 34787-5275
(407) 760-8528
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11003076
FL
Other
Enumeration date
07/04/2019
Last updated
05/13/2026
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