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NPI Code Detail

MEDICARE: DR. FERNANDO DIAZ MORI M.D.

MEDICARE: DR. FERNANDO DIAZ MORI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME102401FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093972143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERNANDO DIAZ MORI M.D.
Provider Business Mailing Address
First Line : 10015 SPANISH CHERRY CT
Second Line :
City : TAMPA
State : FL
Zip : 33647-3715
Country : US
Telephone Number : 941-545-2895
Fax Number : 813-289-6592
Provider Business Practice Location Address
First Line : 5331 PRIMROSE LAKE CIR STE 112
Second Line :
City : TAMPA
State : FL
Zip : 33647-3764
Country : US
Telephone Number : 813-651-1085
Fax Number : 813-932-0266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2008
Last Update Date : 05/27/2021

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