| 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 |
| Experience | 20 Years |
| Location | 100 Commercial Dr, Keystone Heights, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Area Physical Therapy Inc. | 3678604840 | 252 |
| Rural Health Care Inc | 7214849520 | 27 |
| 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: Medicare Enrolled 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: Medicare Enrolled 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 |