Individual
DR. DENIS MANUEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1765 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 343-3330
Mailing address
1765 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 343-3330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101235887
VA
208000000X
Pediatrics Physician
2009-00227
NC
208000000X
Pediatrics Physician
Primary
ME118501
FL
Other
Enumeration date
01/27/2006
Last updated
06/03/2014
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