Individual
JOSE M DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6904 W LINEBAUGH AVE, TAMPA, FL 33625-5800
(813) 888-7710
Mailing address
2347 TIOGA DR, LAND O LAKES, FL 34639-5420
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
8643
PR
207ZP0101X
Anatomic Pathology Physician
8643
PR
2085U0001X
Diagnostic Ultrasound Physician
8643
PR
208D00000X
General Practice Physician
Primary
ME122262
FL
Other
Enumeration date
06/01/2006
Last updated
11/12/2019
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