Provider Demographics
NPI:1134238132
Name:DIEPPA, ANA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:DIEPPA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 S OCEAN DR
Mailing Address - Street 2:APT 447
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2830
Mailing Address - Country:US
Mailing Address - Phone:786-357-7220
Mailing Address - Fax:
Practice Address - Street 1:13298 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2015
Practice Address - Country:US
Practice Address - Phone:305-891-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT18756OtherLICENSE #