Individual
DR. LUIS ALONSO DIAZ-ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4225 E FOWLER AVE, TAMPA, FL 33617-2026
(813) 972-7100
(813) 972-8267
Mailing address
34852 FAIRVIEW HEIGHTS RD, ZEPHYRHILLS, FL 33541-7745
(813) 787-9585
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
050356
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
80068
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME83032
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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