Diaz, Tony

Diaz, Tony is an sole proprietor health care provider with primary practice located at 7100 W 20Th Ave Ste 101, Hialeah FL 33016-1897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Diaz, Tony can be contacted via phone (305) 822-0401.

Contact Information

Primary practice address
7100 W 20Th Ave Ste 101 Hialeah FL 33016-1897
Phone: (305) 822-0401
Fax: (305) 824-1748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X OS6699 Florida

Profile Details

NPI number 1962406751
LBN Legal business name Diaz, Tony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Dec 6th, 2009 - about 17 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 1962406751 NPPES
Florida Other 47987 BCBS
Florida MEDICAID 264540800 BCBS
Florida Other 7708523 BCBS
Florida Other 3395788 BCBS
Florida Other 591272217 BCBS
Florida Other 288361 BCBS
Florida Other 046716 BCBS

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