MARK ANTHONY ANTONIO DIAZ


Address: 4500 San Pablo Rd S, Jacksonville, FL 32224-1865
Phone: (904) 953-2000

MARK ANTHONY ANTONIO DIAZ (NPI# 1417364563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417364563
Entity Type Individual
Full Name MARK ANTHONY ANTONIO DIAZ
Credential MD
Practice Address 4500 San Pablo Rd S
Jacksonville
FL 32224-1865
Mailing Address 4500 San Pablo Rd S
Jacksonville
FL 32224
Practice Telephone (904) 953-2000
Mailing Telephone 9049532000
Enumeration Date 2014-07-21
Last Update Date 2017-12-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
ME131318 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 4500 SAN PABLO RD S
City JACKSONVILLE
State FL
Zip Code 32224-1865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891799136 Richard Clarke Agnew Thoracic Surgery (Cardiothoracic Vascular Surgery) 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2005-06-01
1427657964 Brianna Iannarelli Nurse Anesthetist, Certified Registered 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-24
1538768981 Heather Anne Dahlen Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-17
1578161717 Szilvia Fortner Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-10
1265049464 Carolyn Gonzalez Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-09-30
1467065748 Ifeloluwa A Olutola Family Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1366055568 Krina Dipak Vyas Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1356954911 Haleigh Diane Shelton Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-24
1215548805 Victoria Zeilinger Reams Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-16
1558971382 Rachel Marie Hannon Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974372 Noelle Parker Specialist/Technologist 1 Unf Drivve, Jacksonville, FL 32224 2020-02-18
1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
1497093454 Quicker Care Urgent Care Point of Service 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 2013-01-27
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063031524 Overflow Health Alliance Inc Internal Medicine 3416 Moncrief Rd # 101, Jacksonville, FL 32209-4340 2020-04-14
1609201334 Harry D. Marty Vigo Internal Medicine 15255 Max Leggett Pkwy Ste 4224, Jacksonville, FL 32218-7275 2013-09-12
1235351362 Ramon Dizon Md Pa Internal Medicine 1200 Barrs Street, Jacksonville, FL 32204 2007-05-02
1730145608 Sebastian Robert Stanciu Internal Medicine 2122 University Blvd S, Jacksonville, FL 32216-8937 2006-04-21
1326016536 Ivan A Guerrero Internal Medicine 6817 Southpoint Pkwy Ste 802, Jacksonville, FL 32216 2006-03-14
1265426829 Luis U Ramirez Internal Medicine 11555 Central Pkwy, Ste 200, Jacksonville, FL 32224-2691 2005-09-09
1518951441 Robert J Catalla Internal Medicine 820 Prudential Dr Ste 515, Credentialing Department, Jacksonville, FL 32207-8207 2005-09-07
1750814414 Sammer M. Elwasila Internal Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2017-04-09
1447690987 Kapil Vyas Internal Medicine 3 Shircliff Way Ste 625, Jacksonville, FL 32204-4776 2013-06-28
1760786768 Moataz S Al-knawy Internal Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2011-01-05
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Competitor

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City JACKSONVILLE
Zip Code 32224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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