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Diane Manzano

Nurse Practitioner, Psych/Mental Health in Miami, FL. Individual provider (NPI-1).

NPI number1104774207
StatusActive
Last updated in NPPESMar 17, 2026

Details

NPI
1104774207
Entity type
Individual (NPI-1)
Name
Diane Manzano
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 17, 2026
Certification date
Mar 17, 2026
Last updated
Mar 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health11045541FLYes

Practice location

1034 Sw 123rd Pl
Miami, FL 33184-2451

Phone 305-308-7138

Mailing address

1034 Sw 123rd Pl
Miami, FL 33184-2451

Phone 305-308-7138

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