Metrock, Diana

Metrock, Diana is an individual health care provider with primary practice located at 1674 Nw 143Rd Way , Pembroke Pines FL 33028-3009. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Other Service Providers / Specialist is her primary health care specialty. Metrock, Diana can be contacted via phone (954) 397-3785.

Contact Information

Primary practice address
1674 Nw 143Rd Way Pembroke Pines FL 33028-3009
Phone: (954) 397-3785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1154465524
LBN Legal business name Metrock, Diana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Nov 7th, 2016 - about 8 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 1154465524 NPPES
Florida MEDICAID 8118256 00

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