| Latoya Diaz, | |
| 
					100 Commercial Dr, Keystone Heights, FL 32656-6802  | |
| (352) 473-6595 | |
| (352) 473-6597 | 
| Full Name | Latoya Diaz | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 100 Commercial Dr, Keystone Heights, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003238916 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | RN9322582 (Florida) | Secondary | 
| 363L00000X | Nurse Practitioner | APRN11034769 (Florida) | Primary | 
| Entity Name | Rural Health Care Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Latoya Diaz, 149 Nw 166th Ter, Newberry, FL 32669-6109 Ph: (352) 474-1891  | Latoya Diaz, 100 Commercial Dr, Keystone Heights, FL 32656-6802 Ph: (352) 473-6595  | 
Mrs. Jennifer L Siegel, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 445 S Lawrence Blvd, Suite A, Keystone Heights, FL 32656 Phone: 352-562-7927 Fax: 770-319-1019  | |
Casey Vaughan Thomas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8160 Merrian Rd, Keystone Heights, FL 32656 Phone: 904-655-9994  | |
David H Jarosz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Commercial Dr, Keystone Heights, FL 32656 Phone: 352-473-6595 Fax: 352-473-6597  | |
Virginia Stewart, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6542 Triest Ave, Keystone Heights, FL 32656 Phone: 352-473-7288  | |
Aisha M Ladson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 S Lawrence Blvd, Suite A, Keystone Heights, FL 32656 Phone: 352-562-7927 Fax: 770-319-1019  | |
Christianne Mesolella, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 445 S Lawrence Blvd, Keystone Heights, FL 32656 Phone: 352-562-7927 Fax: 352-234-1791  | |
Jessica Marie Cummings-nigh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 N Lawrence Blvd, Keystone Heights, FL 32656 Phone: 352-473-3199  |