Diaz, Nicolle

Diaz, Nicolle is an individual health care provider with primary practice located at 1005 N 35Th Ave , Hollywood FL 33021-5402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Diaz, Nicolle can be contacted via phone (954) 265-6301.

Contact Information

Primary practice address
1005 N 35Th Ave Hollywood FL 33021-5402
Phone: (954) 265-6301
Fax: (954) 985-1434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME162273 Florida

Profile Details

NPI number 1245763705
LBN Legal business name Diaz, Nicolle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2017
Last updated Jan 16th, 2024 - about 10 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245763705 NPPES
Florida MEDICAID 118232200

Popular Providers