Shaddix Diaz, Jana Renee

Shaddix Diaz, Jana Renee is an sole proprietor health care provider with primary practice located at 3505 Olympic Dr , Green Cove Springs FL 32043-8079. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Shaddix Diaz, Jana Renee can be contacted via phone (904) 302-7268.

Contact Information

Primary practice address
3505 Olympic Dr Green Cove Springs FL 32043-8079
Phone: (904) 302-7268
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT18608 Florida

Profile Details

NPI number 1225596372
LBN Legal business name Shaddix Diaz, Jana Renee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2019
Last updated Jun 28th, 2022 - about 3 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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