Provider Demographics
NPI:1023686896
Name:DIAZ, FRANCHESCA G (IMH)
Entity type:Individual
Prefix:
First Name:FRANCHESCA
Middle Name:G
Last Name:DIAZ
Suffix:
Gender:F
Credentials:IMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9933 SHADOW CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5634
Mailing Address - Country:US
Mailing Address - Phone:786-393-1700
Mailing Address - Fax:
Practice Address - Street 1:9933 SHADOW CREEK DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-5634
Practice Address - Country:US
Practice Address - Phone:786-393-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health