Individual
DAWN J DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
463832 STATE ROAD 200, YULEE, FL 32097-3638
(904) 225-2311
(904) 390-7467
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9282622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016452000
—
FL
Enumeration date
07/24/2015
Last updated
11/18/2024
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