Individual
DR. MICHELLE L. DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3316 3RD ST S, SUITE 103, JACKSONVILLE, FL 32250-6073
(904) 241-7865
(904) 249-2352
Mailing address
3316 3RD ST S, SUITE 103, JACKSONVILLE, FL 32250-6073
(904) 241-7865
(904) 249-2352
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME118175
FL
207W00000X
Ophthalmology Physician
TRN13682
FL
Other
Enumeration date
05/19/2009
Last updated
01/10/2017
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