National Provider Identifier Database

MICHAEL DIAZ, MD – NPI #1295748176
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Contact Information

MICHAEL DIAZ, MD
1513 S HARBOR CITY BLVD
MELBOURNE, FL  32901
Phone: 321-951-2639
Fax: 321-914-0938
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for MICHAEL DIAZ

NPI Number 1295748176
Credentials MD
Entity Individual
Enumeration date 08/14/2006
Last updated 11/26/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME74679
  • Other: EFFECTIVE 01/01/2009 ACCOUNTABLE/INTERPLAN HEALTH GROUP
  • Other: 6684138 AETNA HMO
  • Other: 7381303 AETNA PPO
  • Other: 2580722 BEECHSTREET NETWORK
  • Other: 1033065 CAREPLUS HEALTH PLAN
  • Other: EFFECTIVE 10/20/2008 CIGNA
  • Other: EFFECTIVE 07/14/208 COALITION AMERICA/NPPN
  • Other: EFFECTIVE 11/01/2007 COVENTRY
  • Other: EFFECTIVE 08/07/2008 EVOLUTIONS
  • Other: EFFECTIVE 12/29/2008 HUMANA CHOICE CARE
  • Other: EFFECTIVE 10/23/08 MULTIPLAN/PHCS
  • Other: EFFECTIVE 10/30/2008 TRICARE
  • Other: EFFECTIVE 10/01/2008 UNITEDHEALTHCARE
  • Other: 458713 WELLCARE
  • FL Other: 01226797 AMERIGROUP
  • FL Other: 44932 BCBS OF FLORIDA
Hospital affiliation n/a

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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