Individual
MS. MICHELLE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NRCPT
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(407) 204-1776
(888) 272-4513
Mailing address
2328 MID TOWN TER APT 1032, ORLANDO, FL 32839-4527
(407) 535-7684
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3222554
FL
202K00000X
Phlebology Physician
Primary
S3F6N6G3
FL
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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