Individual
DR. DEISY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
6750 TAFT ST, HOLLYWOOD, FL 33024-3903
(954) 342-9822
Mailing address
4691 SW 110TH AVE, DAVIE, FL 33328-3224
(305) 934-7076
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9179779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307102200
—
FL
Enumeration date
07/18/2006
Last updated
04/20/2020
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