Lanza Diaz, Anisley

Lanza Diaz, Anisley is an sole proprietor health care provider with primary practice located at 1419 W Waters Ave Ste 117 , Tampa FL 33604-2852. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Lanza Diaz, Anisley can be contacted via phone (813) 403-2567.

Contact Information

Primary practice address
1419 W Waters Ave Ste 117 Tampa FL 33604-2852
Phone: (813) 403-2567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X MA89791 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X MA89791 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MA89791 Florida

Profile Details

NPI number 1336798156
LBN Legal business name Lanza Diaz, Anisley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2019
Last updated Sep 4th, 2019 - about 6 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 1336798156 NPPES
Florida Other L523000825290 CAR INSURANCE

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