| Edward Diaz Jr, APRN, FNP-BC | |
| 
					460 E Altamonte Dr Ste 2200, Altamonte Springs, FL 32701-4653  | |
| (407) 767-0009 | |
| (407) 767-0022 | 
| Full Name | Edward Diaz Jr | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 460 E Altamonte Dr Ste 2200, Altamonte Springs, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225758337 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11021878 (Florida) | Primary | 
| Entity Name | Kanan Medical, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003369661 PECOS PAC ID: 4486934833 Enrollment ID: O20161201000882  | 
| Entity Name | Certmedicals Walk In Clinic And Wound Care Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639764871 PECOS PAC ID: 9234547803 Enrollment ID: O20210420001509  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edward Diaz Jr, APRN, FNP-BC 2450 Cherry Laurel Dr Apt 412, Sanford, FL 32771-8873 Ph: (407) 443-5577  | Edward Diaz Jr, APRN, FNP-BC 460 E Altamonte Dr Ste 2200, Altamonte Springs, FL 32701-4653 Ph: (407) 767-0009  | 
Mercedes D Wierman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 631 Palm Springs Dr, Suite 101, Altamonte Springs, FL 32701 Phone: 407-331-1121  | |
Tanya Rita Jilkevorkian,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 S Westmonte Dr Ste 230, Altamonte Springs, FL 32714 Phone: 689-263-5844  | |
Mrs. Amanda Jean Patel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 355 E Altamonte Dr Ste 1500, Altamonte Springs, FL 32701 Phone: 689-240-1719  | |
Jessica Saccente, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 894 E Altamonte Dr, Altamonte Springs, FL 32701 Phone: 407-834-5151 Fax: 407-834-5562  | |
Ms. Madeline Japp,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 W Orange St, Altamonte Springs, FL 32714 Phone: 352-431-3940  | |
Holly Nichole Young,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 Maitland Ave Ste 116, Altamonte Springs, FL 32701 Phone: 407-915-5643 Fax: 407-960-2602  | |
Kelly Renee Paeth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Boston Ave Ste 205, Altamonte Springs, FL 32701 Phone: 407-212-9532  |