Individual
DR. EMANUEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1381 S PATRICK DR, PATRICK AFB, FL 32925-3606
(321) 494-8216
Mailing address
316 BARRYMORE DR, ROCKLEDGE, FL 32955-4760
(630) 618-9559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-122688
IL
Other
Enumeration date
01/23/2008
Last updated
03/07/2023
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