Diaz, Nils M

Diaz, Nils M is an individual health care provider with primary practice located at 601 Main St Ms-417, Dunedin FL 34698-5848. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Diaz, Nils M can be contacted via phone (727) 734-6635.

Contact Information

Primary practice address
601 Main St Ms-417 Dunedin FL 34698-5848
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME59531 Florida

Profile Details

NPI number 1851452577
LBN Legal business name Diaz, Nils M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated May 5th, 2010 - about 15 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 1851452577 NPPES
Florida MEDICAID 374111700

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