Individual provider · Type 1 NPI
Dianka Perez
Gerontology Nurse Practitioner · Fort Lauderdale, FL
NPI number
1154974830
Active
Practice location
104 SW 24th Ave
Fort Lauderdale, FL 33312-1450
Mailing address
20200 W Dixie Hwy Ste 1108
Aventura, FL 33180-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11003364 (FL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1154974830
Dianka Perez's National Provider Identifier is 1154974830, issued on Jul 22, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 30, 2026.