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NANNETTE DIAZ DPM PA NPI 1932227428


NPI Information

NPI: 1932227428
Provider Name: NANNETTE DIAZ DPM PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3355 W BEARSS AVE
TAMPA, FL
ZIP 33618
Phone: (813) 960-1517
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NANNETTE DIAZ DPM PA is a podiatrist in Tampa, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NANNETTE DIAZ DPM PA NPI is 1932227428. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3355 W BEARSS AVE
TAMPA, FL
ZIP 33618
Phone: (813) 960-1517
Fax: (813) 962-3278

The provider's authorized official is Nannette Diaz .
The authorized official title is President and has the following contact phone number (813) 960-1517.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 1/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPO3049FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V01956MEDICARE UPINFLORIDA
2340531100MEDICAIDFLORIDA
35868840001MEDICARE NSCFLORIDA
4U3561MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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