Individual
JANNIFER A DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N DIXIE HWY, WEST PALM BEACH, FL 33401-4522
(954) 744-9190
Mailing address
8001 SW 36TH ST, SUITE 9, DAVIE, FL 33328-1915
(954) 577-7790
(954) 577-7780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2255A2300X
Athletic Trainer
Primary
MH16317
FL
Other
Enumeration date
01/19/2012
Last updated
09/20/2023
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