Individual
ARMANDO DIAZ DUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1130 ROSEFAIRE PL, ODESSA, FL 33556-6072
(813) 539-6023
Mailing address
1130 ROSEFAIRE PL, ODESSA, FL 33556-6072
(813) 539-6023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02210906
FL
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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