Dr Omar Blas Diaz Sr, ARNP | |
2500 Del Prado Blvd S, Cape Coral, FL 33904-5750 | |
(786) 267-2364 | |
(239) 772-1196 |
Full Name | Dr Omar Blas Diaz Sr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2500 Del Prado Blvd S, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699008896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11008455 (Florida) | Primary |
Entity Name | Millennium Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
Mailing Address | Practice Location Address |
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Dr Omar Blas Diaz Sr, ARNP 2500 Del Prado Blvd S, Cape Coral, FL 33904-5750 Ph: (786) 267-2364 | Dr Omar Blas Diaz Sr, ARNP 2500 Del Prado Blvd S, Cape Coral, FL 33904-5750 Ph: (786) 267-2364 |
Yamell Martin Perez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Se 21st Ter, Cape Coral, FL 33990 Phone: 239-888-0508 | |
Diana Acosta Romero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904 Phone: 239-317-0265 Fax: 239-673-7681 | |
Zunia Garcia Padron, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Nw 17th St, Cape Coral, FL 33993 Phone: 239-245-0010 | |
Haney Sosa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 Nw 20th St, Cape Coral, FL 33993 Phone: 239-308-8918 | |
Kelsie Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 7, Cape Coral, FL 33990 Phone: 239-424-3660 Fax: 239-424-3663 | |
Nadeige Sylvie Jean-jules, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 737 Cape Coral Pkwy E, Cape Coral, FL 33904 Phone: 239-542-0512 | |
Mauricio Tejada Valencia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1528 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-458-3338 Fax: 239-458-0666 |