Individual
DR. CONSTANTINO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 713, JACKSONVILLE, FL 32207-8210
(904) 396-5682
Mailing address
820 PRUDENTIAL DR, SUITE 713, JACKSONVILLE, FL 32207-8210
(904) 396-5682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME118046
FL
Other
Enumeration date
03/29/2010
Last updated
02/28/2017
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