Individual
DR. JORGE CESAR DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 CAPE CORAL PKWY E STE 104, CAPE CORAL, FL 33904-8522
(239) 343-6050
(239) 468-7946
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-6051
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME126524
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME126524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025019600
—
FL
01
—
PUHZ6
BCBS
FL
Enumeration date
01/24/2013
Last updated
10/15/2025
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