| Fernando N Diaz, Md. Pa | |
|
3990 Sheridan St Ste 206 Hollywood FL 33021-3656 | |
| (954) 987-8183 | |
| (954) 894-9937 |
| Full Name | Fernando N Diaz, Md. Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3990 Sheridan St Ste 206, Hollywood, Florida |
| Authorized Official Name and Position | Fernando N Diaz (PRESIDENT) |
| Authorized Official Contact | 9549878183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando N Diaz, Md. Pa 3990 Sheridan Street. Suite 206 Hollywood FL 33021-3656 Ph: (954) 987-8183 | Fernando N Diaz, Md. Pa 3990 Sheridan St Ste 206 Hollywood FL 33021-3656 Ph: (954) 987-8183 |
| NPI Number | 1891068300 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/14/2012 |
| Medicare PECOS PAC ID | 1658539200 |
|---|---|
| Medicare Enrollment ID | O20120228000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891068300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Fernando N Diaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174699870 PECOS PAC ID: 5193983740 Enrollment ID: I20120228000603 |
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