Organization · NPI-2

Diaz Foot & Ankle Center PLLC

Podiatrist · Chesapeake, VA

NPI number1124308507
StatusActive
Last updated in NPPESAug 17, 2011

Details

NPI
1124308507
Entity type
Organization (NPI-2)
Legal business name
Diaz Foot & Ankle Center PLLC
Organization subpart
No
Enumeration date
Aug 17, 2011
Last updated
Aug 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist0103300814VAYes

Practice location

612 Kingsborough Sq
Suite 202
Chesapeake, VA 23320-5041

Phone 757-673-8562 · Fax 757-673-8174

Mailing address

Po Box 6480
Virginia Beach, VA 23456-0480

Phone 757-673-8562 · Fax 757-673-8174

Authorized official

Rex G Diaz
President
7576738562

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Podiatrist providers in Chesapeake, VA