Diaz, Tanya I

Diaz, Tanya I is an individual health care provider with primary practice located at 511 Medical Plaza Dr Suite 101, Leesburg FL 34748-7326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Diaz, Tanya I can be contacted via phone (352) 728-6808.

Contact Information

Primary practice address
511 Medical Plaza Dr Suite 101 Leesburg FL 34748-7326
Phone: (352) 728-6808
Fax: (352) 728-1743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME90760 Florida

Profile Details

NPI number 1467445080
LBN Legal business name Diaz, Tanya I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Oct 27th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467445080 NPPES
Florida MEDICAID 270240100
Florida Other 48179

Popular Providers