Jorge O Diaz (NPI# 1487663373, PAC ID# 1052311867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1487663373 |
| PAC ID by PECOS | 1052311867 |
| Professional Enrollment ID | I20061229000323 |
| Full Name | Jorge O Diaz |
| Organization Legal Name | JORGE O DIAZ MD PA |
| Address |
1331 S International Pkwy Suite 1261 Lake Mary FL 32746-1405 |
| Phone Number | 4074444848 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 7911908330 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100161 | CENTRAL FLORIDA REGIONAL HOSPITAL |
| 100057 | FLORIDA HOSPITAL WATERMAN |
| Address | Phone | Organization |
|---|---|---|
| 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 | 4074444848 | JORGE O DIAZ MD PA |
| 1401 S Seminole Blvd, Sanford, FL 32771-6743 | 9043962342 | CENTRAL FLORIDA CARDIOLOGY INTERPRETATIONS LLC |
| Organization Legal Name | JORGE O DIAZ MD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafael E Pena | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
| Street Address |
1331 S INTERNATIONAL PKWY SUITE 1261 |
| City | LAKE MARY |
| State | FL |
| Zip | 32746-1405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Frances Love | Optometry | 1331 S International Pkwy, Suite 1271, Lake Mary, FL 32746-1405 | |
| Rafael E Pena | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilberto L Lopez | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Carlos P Grullon | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Lawrence E Vallario | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Mulugeta Fissha | Interventional Cardiology | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| William J David | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Stephen M Reed | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
| Benjamin Golden Thomasson | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
| Mindy Ley | Physician Assistant | Mid-florida Dermatology Associates P.a. | 1325 S International Pkwy, Suite 2243, Lake Mary, FL 32746-1406 |
| Raul E Tamayo | Internal Medicine | 1325 S International Pkwy, Suite 2241, Lake Mary, FL 32746-1406 | |
| Enid F Burnett | Dermatology | Mid-florida Dermatology Associates P.a. | 1325 S International Pkwy, Suite 2243, Lake Mary, FL 32746-1406 |
| Find all physicians in zip 32746 | |||
| City | LAKE MARY |
| Zip Code | 32746 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | LAKE MARY + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Jorge O Diaz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.