Individual
EMMA EDELMIRA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5610 W LA SALLE ST, TAMPA, FL 33607-1770
(813) 287-8998
(813) 251-1136
Mailing address
12008 WANDSWORTH DR, TAMPA, FL 33626-2613
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
ME 77657
FL
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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