Individual
DR. JORGE ANDRES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 FORT WADE RD STE 100, PONTE VEDRA BEACH, FL 32081-5114
(904) 466-8916
(904) 302-6954
Mailing address
90 FORT WADE RD STE 100, PONTE VEDRA, FL 32081-5114
(904) 466-8916
(904) 302-6954
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME131930
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME131930
FL
Other
Enumeration date
06/30/2014
Last updated
08/13/2025
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