Andrea Diaz, PHARMD
Individual provider Active NPI Pharmacist · Seffner, FL
NPI 1851994248 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1851994248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS45065 (FL)
- Practice address
- 704 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534 - Phone
- (813) 681-4431
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS45065 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS45065 | FL | Yes |
Addresses
Primary practice location
704 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534
Mailing address
704 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534
Phone (813) 681-4431
Other providers in Seffner, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.