Diaz, Jorge B
Diaz, Jorge B is an individual health care provider with primary practice located at 731 S Parsons Ave , Brandon FL 33511-6058. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Diaz, Jorge B can be contacted via phone (813) 499-1500.Contact Information
Primary practice address
731 S Parsons Ave
Brandon FL 33511-6058
Phone: (813) 499-1500
Fax: (813) 499-1499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN671 | Florida |
Profile Details
| NPI number | 1699157180 |
|---|---|
| LBN Legal business name | Diaz, Jorge B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2015 |
| Last updated | Jul 28th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699157180 | NPPES |
| Florida | Other | ACN671 | MEDICAL LICENSE |
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