Jorge O. Diaz, Md Pa

LBN: Jorge O. Diaz, Md Pa
Jorge O. Diaz, Md Pa is an health care organization with primary practice located at 1825 Salk Ave , Tavares FL 32778-4311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as the primary health care specialty. Jorge O. Diaz, Md Pa can be contacted via phone (407) 444-4848, or through Diaz, Jorge O. via phone (407) 444-4848.

Contact Information

Primary practice address
1825 Salk Ave Tavares FL 32778-4311
Phone: (407) 444-4848
Fax: (407) 444-4870
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Jorge O. Doctor of Medicine (MD)
Phone: (407) 444-4848

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X

Profile Details

NPI number 1083287866
LBN Legal business name Jorge O. Diaz, Md Pa
DBA Doing business as
Authorized official Diaz, Jorge O. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 20th, 2021
Last updated Nov 15th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083287866 NPPES
Florida MEDICAID 015249701

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