Diaz, Angela G

Diaz, Angela G is an individual health care provider with primary practice located at 700 W Oak Street , Kissimmee FL 34741-4996. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Diaz, Angela G can be contacted via phone (407) 846-2266.

Contact Information

Primary practice address
700 W Oak Street Kissimmee FL 34741-4996
Phone: (407) 846-2266
Fax: (863) 618-1103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3404772 Florida

Profile Details

NPI number 1124067889
LBN Legal business name Diaz, Angela G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 31st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124067889 NPPES
Florida MEDICAID 307655500

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