Organization
PULMONARY GROUP OF CENTRAL FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L DIAZ MD (MEDICAL DIRECTOR)
(352) 315-1627
Entity
Organization
Contact information
Practice address
1038 W NORTH BLVD STE 102, LEESBURG, FL 34748
(352) 315-1627
(352) 326-8744
Mailing address
1038 W NORTH BLVD STE 102, LEESBURG, FL 34748-5077
(352) 315-1627
(352) 326-8744
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME94696
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME94696
FL
Other
Enumeration date
06/09/2008
Last updated
01/25/2019
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