Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3880332 | FL |
NPI | 1003132614 |
---|---|
Provider Name | Diane B Contrastano |
First Address | North Miami Beach, FL 33162-1632 |
Second Address | North Miami Beach, FL 33162-1632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2010 |
Last Update Date | 08/04/2010 |