Diaz, Dennis F.

Diaz, Dennis F. is an individual health care provider with primary practice located at 2864 Wellness Ave Ste 200 , Orange City FL 32763-8335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Diaz, Dennis F. can be contacted via phone (386) 775-0333.

Contact Information

Primary practice address
2864 Wellness Ave Ste 200 Orange City FL 32763-8335
Fax: (386) 775-0427
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X TRN7966 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME107205 Florida

Profile Details

NPI number 1245397413
LBN Legal business name Diaz, Dennis F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jan 31st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245397413 NPPES
Florida MEDICAID 277915300
Florida Other 208600000X
Florida MEDICAID 002287400

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