Individual
MRS. KETTY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7800 SW 87TH AVE, SUITE-B-210, MIAMI, FL 33173-3570
(305) 271-9777
(305) 595-9590
Mailing address
7800 SW 87TH AVE, SUITE-B-210, MIAMI, FL 33173-3570
(305) 271-9777
(305) 595-9590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 3331392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN3331392
STATE LICENSE NUMBER
FL
Enumeration date
09/27/2006
Last updated
07/08/2007
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