Diaz, Jorge Orlando

Diaz, Jorge Orlando is an sole proprietor health care provider with primary practice located at 1331 S International Pkwy Ste 1261 , Lake Mary FL 32746-1405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Diaz, Jorge Orlando can be contacted via phone (407) 444-4848.

Contact Information

Primary practice address
1331 S International Pkwy Ste 1261 Lake Mary FL 32746-1405
Phone: (407) 444-4848
Fax: (407) 444-4870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X ME85198 Florida

Profile Details

NPI number 1487663373
LBN Legal business name Diaz, Jorge Orlando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Sep 8th, 2021 - about 5 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 1487663373 NPPES
Florida Other P00387983 RAILROAD MEDICARE
Florida MEDICAID 276817800 RAILROAD MEDICARE
Florida Other 203337822 RAILROAD MEDICARE
Florida Other 56503 RAILROAD MEDICARE

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