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Contact Information

FABIO E SU DIAZ, MD
114 N FLAGLER AVE
POMPANO BEACH, FL33060-6635
 Phone: 954-786-0691
 Fax: 954-783-2969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FABIO E SU DIAZ · (Male)

NPI Number 1841305752
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 06/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME73893
  • FL Medicaid 252881900
Hospital affiliation(s)
  • HOLY CROSS HOSPITAL INC - (Acute Care)
    4725 N FEDERAL HWY
    FORT LAUDERDALE, FL 33308
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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