Diaz, Jorge Cesar

Diaz, Jorge Cesar is an individual health care provider with primary practice located at 15901 Bass Rd Ste 108 , Fort Myers FL 33908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Diaz, Jorge Cesar can be contacted via phone (239) 343-6050.

Contact Information

Primary practice address
15901 Bass Rd Ste 108 Fort Myers FL 33908
Phone: (239) 343-6050
Fax: (239) 343-6051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME126524 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME126524 Florida

Profile Details

NPI number 1679811657
LBN Legal business name Diaz, Jorge Cesar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Mar 25th, 2021 - 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 1679811657 NPPES
Florida MEDICAID 025019600
Florida Other PUHZ6

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