Doctor Name: | DEBBIE DIAMOND |
NPI Number: | 1447681093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | 1369002 |
Business Practice Address: | 599 S Federal Hwy Dania Beach, FL - 330044174 |
Business Phone Number: | 9549246200 |
Business Fax Number: | |
Mailing Address: | 3709 San Simeon Cir, WESTON |
State: | FL |
Postal Code: | 333315048 |
Phone Number: | 9542493705 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2013 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1369002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |