Diaz, Michael

Diaz, Michael is an individual health care provider with primary practice located at 1513 S Harbor City Blvd , Melbourne FL 32901. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Diaz, Michael can be contacted via phone (321) 951-2639.

Contact Information

Primary practice address
1513 S Harbor City Blvd Melbourne FL 32901
Fax: (321) 914-0938
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME74679 Florida

Profile Details

NPI number 1295748176
LBN Legal business name Diaz, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Nov 26th, 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 1295748176 NPPES
Other 1033065 CAREPLUS HEALTH PLAN
Other EFFECTIVE 07/14/208 CAREPLUS HEALTH PLAN
Other EFFECTIVE 08/07/2008 CAREPLUS HEALTH PLAN
Other EFFECTIVE 10/01/2008 CAREPLUS HEALTH PLAN
Other 01226797 CAREPLUS HEALTH PLAN
Other 44932 CAREPLUS HEALTH PLAN
Other 458713 CAREPLUS HEALTH PLAN
Other EFFECTIVE 10/23/08 CAREPLUS HEALTH PLAN
Other EFFECTIVE 11/01/2007 CAREPLUS HEALTH PLAN
Other 6684138 CAREPLUS HEALTH PLAN
Other EFFECTIVE 01/01/2009 CAREPLUS HEALTH PLAN
Other EFFECTIVE 12/29/2008 CAREPLUS HEALTH PLAN
Other 2580722 CAREPLUS HEALTH PLAN
Other 7381303 CAREPLUS HEALTH PLAN
Other EFFECTIVE 10/20/2008 CAREPLUS HEALTH PLAN
Other EFFECTIVE 10/30/2008 CAREPLUS HEALTH PLAN

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