Individual
ADISNAY DIAZ FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 NE 1ST CT APT 111, HALLANDALE BEACH, FL 33009-4447
(786) 663-8185
Mailing address
701 NE 1ST CT APT 111, HALLANDALE BEACH, FL 33009-4447
(786) 663-8185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCMS101000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043635972
—
FL
Enumeration date
01/26/2018
Last updated
02/04/2021
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