Individual
DR. CARLOS S DIAZ BARCELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 S SEMORAN BLVD, ORLANDO, FL 32807-1457
(407) 382-1376
(321) 235-3232
Mailing address
121 S ORANGE AVE STE 940, ORLANDO, FL 32801-3234
(321) 332-6947
(407) 658-9688
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18116
PR
208D00000X
General Practice Physician
Primary
ACN808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN808
MEDICAL KICENSE
FL
Enumeration date
12/27/2010
Last updated
03/07/2023
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