Individual provider · NPI-1

Mireya E Alberteris Diaz, APRN

Nurse Practitioner, Family · Lakeland, FL

NPI number1245957760
StatusActive
Last updated in NPPESOct 25, 2022

Details

NPI
1245957760
Entity type
Individual (NPI-1)
Name
Mireya E Alberteris Diaz
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 25, 2022
Certification date
Oct 25, 2022
Last updated
Oct 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11022585FLYes

Practice location

1005 N Lake Parker Ave
Lakeland, FL 33805-4723

Phone 863-583-4053

Mailing address

12171 Sw 268th St
Homestead, FL 33032-8001

Phone 205-278-0200

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