Individual
MR. MAURO EDWARD DIEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2712 S FERN CREEK AVE, ORLANDO, FL 32806-5539
(407) 422-0037
(407) 423-2535
Mailing address
2712 S FERN CREEK AVE, ORLANDO, FL 32806-5539
(407) 422-0037
(407) 423-2535
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME38697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260609255
TAX ID
—
Enumeration date
08/04/2006
Last updated
03/29/2025
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