Dr Denis Manuel Diaz, MD | |
1765 David Walker Dr, Tavares, FL 32778-5745 | |
(352) 343-3330 | |
Not Available |
Full Name | Dr Denis Manuel Diaz |
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Gender | Male |
Speciality | Pediatrics |
Location | 1765 David Walker Dr, Tavares, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215908371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101235887 (Virginia) | Secondary |
208000000X | Pediatrics | 2009-00227 (North Carolina) | Secondary |
208000000X | Pediatrics | ME118501 (Florida) | Primary |
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Mailing Address | Practice Location Address |
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Dr Denis Manuel Diaz, MD 1765 David Walker Dr, Tavares, FL 32778-5745 Ph: (352) 343-3330 | Dr Denis Manuel Diaz, MD 1765 David Walker Dr, Tavares, FL 32778-5745 Ph: (352) 343-3330 |
Joanne Isabelle Decade, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 212 E Main St, Tavares, FL 32778 Phone: 079-058-8274 Fax: 407-905-8998 | |
Dr. Valerie B Thomas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1603 Banning Beach Rd, Tavares, FL 32778 Phone: 352-343-2167 Fax: 352-343-4699 | |
Victoria Lynn Riley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 407-975-0412 Fax: 407-975-0413 |