Individual
DIANA BROWN OMEALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4545 NW 103RD AVE STE 200, SUNRISE, FL 33351-7947
(954) 210-7961
(954) 719-7191
Mailing address
7869 FOREST BLVD, NORTH LAUDERDALE, FL 33068-1238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9206869
FL
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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