Salazar, Diana Milena

Salazar, Diana Milena is an sole proprietor health care provider with primary practice located at 3575 Bonita Beach Rd Ste 102 , Bonita Springs FL 34134-4105. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Salazar, Diana Milena can be contacted via phone (239) 954-7722.

Contact Information

Primary practice address
3575 Bonita Beach Rd Ste 102 Bonita Springs FL 34134-4105
Phone: (239) 954-7722
Fax: (239) 443-4577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW12686 Florida

Profile Details

NPI number 1285995357
LBN Legal business name Salazar, Diana Milena
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Dec 27th, 2023 - about 3 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 1285995357 NPPES
Florida MEDICAID 1117901
Florida Other 1699152553
Florida MEDICAID 014047700

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