Individual
DR. NANNETTE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3355 W BEARSS AVE, TAMPA, FL 33618-2100
(813) 960-1517
(813) 962-3278
Mailing address
3355 W BEARSS AVE, TAMPA, FL 33618-2100
(813) 960-1517
(813) 962-3278
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO3049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20858177
NPI GROUP NUMBER
FL
05
—
340531100
—
FL
Enumeration date
03/06/2006
Last updated
02/06/2014
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