Male or Other

Nicholas Diaz

Nurse Practitioner in Tampa, FL(View on Map)

Full Name

Nicholas Diaz

NPI Number

1205518065

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/02/2023

Specialties

(Taxonomies)

Code

363L00000X
163W00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

APRN11028427
RN9502733

Contact
Information

Purpose

Mailing
Location

Address

5556 SILVER SUN DR
2502 W SAINT ISABEL ST

City

Apollo Beach
Tampa

State

FL
FL

Postal Code

33572-2085
33607-6318

Country

US
US

Telephone Number

N/A
(813) 874-5707

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/06/2023

Provider Address

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