Organization
NANNETTE DIAZ DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANNETTE DIAZ DPM (PRESIDENT)
(813) 960-1517
Entity
Organization
Contact information
Practice address
3355 W BEARSS AVE, TAMPA, FL 33618
(813) 960-1517
(813) 962-3278
Mailing address
PO BOX 341306, TAMPA, FL 33694-1306
(813) 960-1517
(813) 962-3278
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340531100
—
FL
Enumeration date
03/26/2007
Last updated
01/07/2013
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