Individual
DR. CARLOS A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 BEE RIDGE RD, SUITE B, SARASOTA, FL 34239-6108
(941) 845-0233
(941) 538-6063
Mailing address
2030 BEE RIDGE RD, SUITE B, SARASOTA, FL 34239-6108
(941) 845-0233
(941) 538-6063
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME80337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107077799
CAQH
—
05
—
260634800
—
FL
Enumeration date
06/12/2006
Last updated
07/28/2015
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