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Contact Information

NANNETTE DIAZ DPM PA
3355 W BEARSS AVE
TAMPA, FL33618
 Phone: 813-960-1517
 Fax: 813-962-3278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NANNETTE DIAZ DPM PA · (Female)

NPI Number 1932227428
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2007
Last updated 01/07/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PO3049
  • FL Medicaid 340531100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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