Individual
DR. ODELSA DIAZ ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6279 N LECANTO HWY, BEVERLY HILLS, FL 34465-2503
(352) 522-0094
(352) 522-0098
Mailing address
5350 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016457600
—
FL
01
—
V4VMN
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/21/2005
Last updated
04/13/2026
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