Individual
JESUS DIAZ VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1258 W BAY DR STE D, LARGO, FL 33770-2277
(727) 420-6374
Mailing address
10460 ROOSEVELT BLVD N # 169, SAINT PETERSBURG, FL 33716-3821
(727) 420-6374
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME168436
FL
Other
Enumeration date
04/09/2019
Last updated
06/10/2024
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