Individual
ERNESTO ANTONIO PACHECO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
18518 QUINCE RD, FORT MYERS, FL 33967-6150
(239) 255-3936
Mailing address
18518 QUINCE RD, FORT MYERS, FL 33967-6150
(239) 255-3936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11039314
FL
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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