Individual
DIANA PAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4725 N. FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 771-8000
Mailing address
2006 HOGBACK RD., SUITE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9245024
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9245024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020364700
—
FL
Enumeration date
10/14/2016
Last updated
02/21/2025
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