Organization
AURORA MEDICAL GROUP. CORP
Active
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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