Provider Demographics
NPI:1275120768
Name:GALAN, MARIA DIORA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:MARIA DIORA
Middle Name:
Last Name:GALAN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7956 N SILVERADO CIR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8389
Mailing Address - Country:US
Mailing Address - Phone:954-436-3603
Mailing Address - Fax:
Practice Address - Street 1:7956 N SILVERADO CIR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8389
Practice Address - Country:US
Practice Address - Phone:954-436-3603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9168966163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse