Individual
ANTONIO FAUSTO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
16555 NW 25TH AVE, MIAMI GARDENS, FL 33054-6583
(786) 466-1500
(305) 397-5951
Mailing address
16555 NW 25TH AVE, MIAMI GARDENS, FL 33054-6583
(786) 466-1500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
363LF0000X
Family Nurse Practitioner
Primary
ARNP9373483
FL
Other
Enumeration date
09/30/2009
Last updated
02/26/2026
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