Diaz, Jose A

Diaz, Jose A is an individual health care provider with primary practice located at 2780 Cleveland Ave # 702, Fort Myers FL 33901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Diaz, Jose A can be contacted via phone (239) 343-3474.

Contact Information

Primary practice address
2780 Cleveland Ave # 702 Fort Myers FL 33901
Phone: (239) 343-3474
Fax: (239) 343-2968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME92159 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME92159 Florida

Profile Details

NPI number 1548415086
LBN Legal business name Diaz, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2008
Last updated Aug 2nd, 2018 - about 6 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 1548415086 NPPES
Florida MEDICAID 000771800

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