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Individual

CHRISTOPHER DIAMOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1148
Mailing address
10280 GROVE LN, COOPER CITY, FL 33328-4006
(954) 240-4537

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3347732
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3347732
ARNP
FL
Enumeration date
10/15/2014
Last updated
10/15/2014
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