Mandy Lazaro Diaz Gamez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11250433 Issued in FL

Practice address

365 Kantor Blvd
Casselberry, FL 32707-5761

Phone

(407) 516-1766

NPI assigned

Nov 19, 2025

Last updated

Nov 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Intensive Care Experts Health Network LLC

  • Pulmonary Disease Physician
  • Hallandale Beach, FL
  • NPI 1164824397
  Medicare reassignment Care Compare group NPD
• Jacob Medical Associates LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Clermont, FL
  • NPI 1174714414
  Medicare reassignment NPD
• Mobile Wound Care Services - Florida PA

  • Specialist
  • Lauderhill, FL
  • NPI 1023803400
  Medicare reassignment NPD
• Intensive Care Experts Health Network LLC

  • Acute Care Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1184596637
  NPD

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1518828565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 KANTOR BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075761",
            "telephone_number": "407-516-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 KANTOR BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075761",
            "telephone_number": "407-516-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GAMEZ",
        "first_name": "MANDY",
        "middle_name": "LAZARO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11250433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Production LLC
• Developmental Behavioral Pediatrics
• Devereux Foundation
• Ghassan Dhannoon
• Dialysis Ser Central Florida LLC (Casselberry DSCF)
• Dorothy Diclemente, MPT
• Anthony C Dinardo, D.O.
• Doctors Medical, LLC
• Doctors Medical, LLC
• Zachary M Dominguez, RMHC INTERN

• Family Nurse Practitioner in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.