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Organization

AURORA MEDICAL GROUP. CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANISLEY LANZA DIAZ RN, BSN, MSN (PRESIDENT)
(813) 403-2567
Entity
Organization

Contact information

Practice address
1419 W WATERS AVE STE 106, TAMPA, FL 33604-2896
(813) 444-1600
(813) 295-8029
Mailing address
1419 W WATERS AVE STE 106, TAMPA, FL 33604-2896
(813) 444-1600
(813) 295-8029

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
10/01/2019
Last updated
01/27/2026
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