Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diana Tavares de Souza Bueno, MT

Individual provider Massage Therapist · NPI 1750150413

Diana Tavares de Souza Bueno, MT is a Massage Therapist in Coconut Creek, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

4400 W Sample Rd Ste 112
Coconut Creek, FL 33073-3457
Phone: (954) 914-5997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA103761 (FL)

Record details

NPI number1750150413
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorYes
NPI enumeratedDecember 22, 2023
Last updated in NPPESDecember 22, 2023
Certification dateDecember 21, 2023

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