Individual
DR. JOSEPH DANIEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, C506, JACKSONVILLE, FL 32209-6511
(904) 244-3817
Mailing address
220 RIVERSIDE AVE UNIT 544, JACKSONVILLE, FL 32202-4959
(786) 266-1262
(844) 704-5828
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81658
GA
207P00000X
Emergency Medicine Physician
D0087156
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2016
Last updated
05/16/2019
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