Diaz, Dawn J

Diaz, Dawn J is an sole proprietor health care provider with primary practice located at 463832 State Road 200 , Yulee FL 32097-3638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Diaz, Dawn J can be contacted via phone (904) 225-2311.

Contact Information

Primary practice address
463832 State Road 200 Yulee FL 32097-3638
Phone: (904) 225-2311
Fax: (904) 225-8481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9282622 Florida

Profile Details

NPI number 1366827925
LBN Legal business name Diaz, Dawn J
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2015
Last updated Dec 12th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366827925 NPPES
Florida MEDICAID 016452000

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