Individual
ALEXANDER NICHOLAS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 DR MARTIN LUTHER KING JR ST N STE 304, ST PETERSBURG, FL 33705-1470
(727) 210-5253
(727) 290-4323
Mailing address
3218 21ST ST N, ST PETERSBURG, FL 33713-3055
(954) 218-1166
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME167124
FL
207P00000X
Emergency Medicine Physician
T3460
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2019
Last updated
08/02/2025
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