Organization
MICHAEL DIAZ M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DIAZ MD (OWNER/PHYSICIAN)
(321) 951-2639
Entity
Organization
Contact information
Practice address
1513 S HARBOR CITY BLVD, MELBOURNE, FL 32901-4681
(321) 951-2639
(321) 914-0938
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
09/30/2016
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