Individual
DR. JUAN D DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
685 PALM SPRINGS DR, SUITE 2A, ALTAMONTE SPRINGS, FL 32701-7853
(407) 830-5577
(407) 830-4164
Mailing address
685 PALM SPRINGS DRIVE, SUITE 2A, ALTAMONTE SPRINGS, FL 32703
(407) 830-5577
(407) 830-4164
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OS9429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280416600
—
FL
Enumeration date
10/23/2006
Last updated
01/14/2010
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