Individual
JOSE J DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
D72676
MD
2086S0102X
Surgical Critical Care Physician
Primary
ME159559
FL
2086S0127X
Trauma Surgery Physician
D72676
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139
BLUE CROSS
MD
05
—
116485300
—
FL
05
—
559908300
—
MD
Enumeration date
10/25/2006
Last updated
01/26/2023
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