Diaz, Deisy

Diaz, Deisy is an individual health care provider with primary practice located at 6750 Taft St , Hollywood FL 33024-3903. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Diaz, Deisy can be contacted via phone (954) 342-9822.

Contact Information

Primary practice address
6750 Taft St Hollywood FL 33024-3903
Phone: (954) 342-9822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9179779 Florida

Profile Details

NPI number 1427077742
LBN Legal business name Diaz, Deisy
Credentials DNP, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 20th, 2020 - about 4 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 1427077742 NPPES
Florida MEDICAID 307102200

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