Individual provider Active NPI

Diane M Weezorak, NP

  • Rheumatology Physician
  • Venice, FL
National Provider Identifier
1083627210
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
APRN11009583 Issued in FL
Practice address
411 Commercial CT Ste C
Venice, FL 34292-1650
Phone
(813) 333-5080
Fax
(813) 773-7717
NPI assigned
Aug 15, 2006
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303818 NY
Rheumatology Physician 207RR0500X APRN11009583 FL Primary

Addresses

Primary practice location

411 Commercial CT Ste C
Venice, FL 34292-1650

Mailing address

938 Cypress Village Blvd Ste a
Sun City Center, FL 33573-6835
Phone (813) 333-5080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000658 NY Practitioner - Nurse Practitioner 9133138118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11009583FLMDRheumatology Physician
F303818NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Rheumatology and Arthritis Center LLC Rheumatology CurrentSince May 12, 2019 Accepting new patients
Brockport Vine Medical PC CurrentSince Mar 2, 2026 Accepting new patients
The Unity Hospital of Rochester Past Accepting new patients
Sunshine Rheumatology and Arthritis Center LLC PastSince May 28, 2023 Accepting new patients

Locations

938 Cypress Village Blvd
Ste A
Sun City Center, FL 33573
Phone (813) 333-5080

411 Commercial Ct
Ste C
Venice, FL 34292
Phone (813) 333-5080

122 West Ave
Ste 6B
Brockport, NY 14420
Phone (585) 208-8668

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21016/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CADIBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1083627210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 CYPRESS VILLAGE BLVD STE A",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736835",
            "telephone_number": "813-333-5080",
            "fax_number": "813-773-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 COMMERCIAL CT STE C",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921650",
            "telephone_number": "813-333-5080",
            "fax_number": "813-773-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEZORAK",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303818",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "APRN11009583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.