Diaz, Fernando N

Diaz, Fernando N is an sole proprietor health care provider with primary practice located at 3990 Sheridan St Suite 206, Hollywood FL 33021-3656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Diaz, Fernando N can be contacted via phone (954) 987-8183.

Contact Information

Primary practice address
3990 Sheridan St Suite 206 Hollywood FL 33021-3656
Phone: (954) 987-8183
Fax: (957) 987-4186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME 0036602 Florida

Profile Details

NPI number 1174699870
LBN Legal business name Diaz, Fernando N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Dec 31st, 2014 - about 10 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 1174699870 NPPES
Florida MEDICAID 039555200

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