Diaz, Nannette

Diaz, Nannette is an individual health care provider with primary practice located at 3355 W Bearss Ave , Tampa FL 33618-2100. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Diaz, Nannette can be contacted via phone (813) 960-1517.

Contact Information

Primary practice address
3355 W Bearss Ave Tampa FL 33618-2100
Phone: (813) 960-1517
Fax: (813) 962-3278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO3049 Florida

Profile Details

NPI number 1679540983
LBN Legal business name Diaz, Nannette
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Feb 6th, 2014 - about 10 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 1679540983 NPPES
Florida Other 20858177 NPI GROUP NUMBER
Florida MEDICAID 340531100 NPI GROUP NUMBER

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