Individual
EDUARDO RAMON DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
989 ORIENTA AVE, ALTAMONTE SPRINGS, FL 32701-5603
(407) 260-0166
(407) 544-2028
Mailing address
PO BOX 2153 DEPT 40339, BIRMINGHAM, AL 35287-9387
(706) 271-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME103393
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME103393
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
ME103393
FL
Other
Enumeration date
01/14/2009
Last updated
08/20/2020
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