Individual
JOANA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 259-8515
Mailing address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 259-8515
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME140031
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2017
Last updated
06/02/2022
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