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Organization
JORGE O DIAZ MD PA
Active
Organization
JORGE O DIAZ MD PA
Active
Parent organization
JORGE O DIAZ, MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
JORGE O DIAZ, MD PA
Authorized official
JORGE O. DIAZ MD (AUTHORIZED OFFICIAL)
(407) 444-4848
Entity
Organization
Contact information
Practice address
601 E DIXIE AVE STE 101, LEESBURG, FL 34748-7307
(407) 444-4848
(407) 444-4870
Mailing address
5224 SR 46 # 376, SANFORD, FL 32771-9230
(407) 444-4848
(407) 444-4870
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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