Diaz, Lisa Marie

Diaz, Lisa Marie is an individual health care provider with primary practice located at 17401 Commerce Park Blvd Ste 104 , Tampa FL 33647-3507. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Diaz, Lisa Marie can be contacted via phone (813) 751-0777.

Contact Information

Primary practice address
17401 Commerce Park Blvd Ste 104 Tampa FL 33647-3507
Phone: (813) 751-0777
Fax: (813) 377-1727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS13514 Florida

Profile Details

NPI number 1225424740
LBN Legal business name Diaz, Lisa Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Aug 25th, 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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