Individual
FERNANDO R DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3031 N ROCKY POINT DR W STE 400, TAMPA, FL 33607-5879
(727) 804-4585
Mailing address
3031 N ROCKY POINT DR W STE 400, TAMPA, FL 33607-5879
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME67973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27036
FL BCBS NUMBER
FL
01
—
300801100
DOL ACS (FECA) W/C
FL
05
—
377687500
—
FL
Enumeration date
05/18/2006
Last updated
08/14/2024
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