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Individual

GEORGE C DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2063 BISCAYNE BLVD FL 5, MIAMI, FL 33137
(305) 682-2900
(786) 753-6131
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0066992
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1024133
CARE PLUS
FL
01
238332
AVMED
FL
01
26252
BLUE CROSS BLUE SHIELD
FL
01
3000011
CIGNA
FL
01
30573
NHP
FL
05
376445100
FL
01
400000450000
PREFERRED CARE PARTNERS
FL
01
4243290
AETNA LIFE INS CO
FL
01
7911330
GHI
FL
01
F91226
VISTA
FL
01
NNC106
WELLCARE/STAYWELL
FL
Enumeration date
06/28/2005
Last updated
04/14/2023
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