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Organization
TAMARA LOPEZ DIAZ, MD. PA
Active
Organization
TAMARA LOPEZ DIAZ, MD. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA LOPEZ DIAZ M.D. (PRESIDENT)
(786) 278-1337
Entity
Organization
Contact information
Practice address
12301 SE US HIGHWAY 441 STE C, BELLEVIEW, FL 34420
(352) 327-8106
Mailing address
12301 SE US HIGHWAY 441 STE C, BELLEVIEW, FL 34420-4578
(352) 327-8106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME127189
FL
Other
Enumeration date
10/17/2016
Last updated
01/24/2019
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