Individual
ISABEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 NORTH BLVD W, DAVENPORT, FL 33837-9076
(863) 421-3456
Mailing address
2217 NORTH BLVD W, DAVENPORT, FL 33837-9076
(863) 421-3456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115199
FL
363AS0400X
Surgical Physician Assistant
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—
Other
Enumeration date
09/21/2021
Last updated
08/19/2025
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