Individual
ELADIO J DIEGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5345 SW COLLEGE RD, SUITE 401, OCALA, FL 34474-5717
(352) 873-2300
Mailing address
5345 SW COLLEGE RD STE 401, OCALA, FL 34474-5717
(352) 873-2300
(352) 873-8424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME056064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28285
BCBS
FL
05
—
379327300
—
FL
01
—
593669759
TAX ID
FL
Enumeration date
05/31/2006
Last updated
07/24/2019
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