Individual
DR. JESUS ANTONIO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4203 BELFORT RD STE 345, JACKSONVILLE, FL 32216-1469
(904) 450-6461
(904) 450-6469
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME86529
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME86529
FL
207RP1001X
Pulmonary Disease Physician
ME86529
FL
Other
Enumeration date
03/29/2006
Last updated
03/29/2018
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