Diaz, Potoula
Diaz, Potoula is an sole proprietor health care provider with primary practice located at 1340 Deer Path Dr , Osteen FL 32764-9824. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Diaz, Potoula can be contacted via phone (407) 330-7768.Contact Information
Primary practice address
1340 Deer Path Dr
Osteen FL 32764-9824
Phone: (407) 330-7768
Fax: (407) 330-9287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 6104 | Florida |
Profile Details
| NPI number | 1558408344 |
|---|---|
| LBN Legal business name | Diaz, Potoula |
| Credentials | MS, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Dec 16th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558408344 | NPPES |
| Florida | MEDICAID | 763878700 |
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