Individual
DR. ROBERTO JOSE DIAZ BALZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7727 LAKE UNDERHILL RD, SUITE 115, ORLANDO, FL 32822-8224
(407) 303-8110
Mailing address
500 WINDERLEY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-0555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME127423
FL
Other
Enumeration date
06/20/2013
Last updated
07/26/2016
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