Individual
JEERIKA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9753 S ORANGE BLOSSOM TRL STE 101, ORLANDO, FL 32837-8998
(407) 942-8555
(407) 987-3758
Mailing address
9753 S ORANGE BLOSSOM TRL STE 101, ORLANDO, FL 32837-8998
(407) 942-8555
(407) 987-3758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11010296
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11010296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109715500
—
FL
Enumeration date
12/18/2020
Last updated
07/18/2025
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