Individual
JENNIFER MARIE DIAZ-WICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8610
(352) 273-8612
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8610
(352) 273-8612
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA101
FL
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
08/20/2011
Last updated
05/12/2016
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