Most Relevant Information
Provider Data
| NPI Number: | 1003389974 |
| Provider Name: | ISMAEL DIAW |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 514532 |
Most Important Dates
| Enumeration Date: | 01/03/2019 |
| Last Updated: | 01/03/2019 |
Provider Practice Location
2350 S PARK RD APT 206
HALLANDALE BEACH
FL
330093022
Practice Location Phone/Fax
| Phone: | 3108005402 |
| Fax: |
Provider Mailing Location
2350 S PARK RD APT 206
HALLANDALE BEACH
FL
330093022
Provider Mailing Phone/Fax
| Phone: | 3108005402 |
| Fax: |