Gerardo Diaz, Mdpa
Family Medicine in Naples, FL. Organization (NPI-2).
NPI number1003676750
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1003676750
- Entity type
- Organization (NPI-2)
- Legal business name
- Gerardo Diaz, Mdpa
- Organization subpart
- No
- Enumeration date
- Mar 20, 2024
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2664 Tamiami Trl ENaples, FL 34112-5707
Phone 239-428-1010 · Fax 239-785-1752
Mailing address
2664 Tamiami Trl ENaples, FL 34112-5707
Phone 239-428-1010 · Fax 239-785-1752
Authorized official
Gerardo Diaz
Owner
3059786309
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