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Joshua Lawrence Diener

Student in an Organized Health Care Education/Training Program in Deerfield Beach, FL. Individual provider (NPI-1).

NPI number1104765494
StatusActive
Last updated in NPPESMar 25, 2026

Details

NPI
1104765494
Entity type
Individual (NPI-1)
Name
Joshua Lawrence Diener
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2026
Certification date
Mar 25, 2026
Last updated
Mar 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

201 E Sample Rd
Deerfield Beach, FL 33064-3502

Phone 000-000-0000

Mailing address

201 E Sample Rd
Deerfield Beach, FL 33064-3502

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