# FERNANDO N DIAZ, MD. PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891068300
- **Authorized official:** DR. FERNANDO N DIAZ M.D. (PRESIDENT)
- **Authorized official phone:** (954) 987-8183

## Contact information

- **Practice address:** 3990 SHERIDAN ST STE 206, HOLLYWOOD, FL 33021-3656
- **Practice address phone:** (954) 987-8183
- **Practice address fax:** (954) 894-9937
- **Mailing address:** 3990 SHERIDAN STREET. SUITE 206, HOLLYWOOD, FL 33021-3656
- **Mailing address phone:** (954) 987-8183
- **Mailing address fax:** (954) 894-9937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2012
- **Last updated:** 02/14/2012