Diaz, Michael

Diaz, Michael is an individual health care provider with primary practice located at 1201 5Th Ave N Ste 505 , St Petersburg FL 33705-1455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Diaz, Michael can be contacted via phone (727) 821-0017.

Contact Information

Primary practice address
1201 5Th Ave N Ste 505 St Petersburg FL 33705-1455
Phone: (727) 821-0017
Fax: (727) 821-7473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME84878 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME84878 Florida

Profile Details

NPI number 1871574186
LBN Legal business name Diaz, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated May 2nd, 2022 - about 2 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 1871574186 NPPES
Florida MEDICAID 272291700

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