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Jesus Diaz Vera

Internal Medicine, Infectious Disease in Largo, FL. Individual provider (NPI-1).

NPI number1083177851
StatusActive
Last updated in NPPESJun 10, 2024

Details

NPI
1083177851
Entity type
Individual (NPI-1)
Name
Jesus Diaz Vera
Sex
Male
Sole proprietor
No
Enumeration date
Apr 9, 2019
Certification date
Jun 10, 2024
Last updated
Jun 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0200X Internal Medicine, Infectious DiseaseME168436FLYes

Other names

  • Jesus Diaz (Former Name)

Practice location

1258 W Bay Dr Ste D
Largo, FL 33770-2277

Phone 727-420-6374

Mailing address

10460 Roosevelt Blvd N # 169
Saint Petersburg, FL 33716-3821

Phone 727-420-6374

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