Individual
DR. DENNIS D DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 RAYMOND ST, DEPT. OTOLARYNGOLOGY, ORLANDO, FL 32803-8208
(407) 629-1599
Mailing address
14001 FAIRWINDS CT, ORLANDO, FL 32824-5272
(541) 912-5230
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD24299
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181843
—
OR
Enumeration date
02/07/2006
Last updated
03/19/2013
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