Individual
DIANYRIS ANGELIZ PAGAN TACORONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(800) 541-6682
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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