Individual
DR. JORGE B DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
731 S PARSONS AVE, BRANDON, FL 33511-6058
(813) 499-1500
(813) 499-1499
Mailing address
731 S PARSONS AVE, BRANDON, FL 33511-6058
(813) 499-1500
(813) 499-1499
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN671
MEDICAL LICENSE
FL
Enumeration date
06/22/2015
Last updated
07/28/2026
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