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NPI Code Detail

MEDICARE: ROXANA DIAZ-FELIX M.D.

MEDICARE: ROXANA DIAZ-FELIX 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
1208D00000XGeneral Practice Physician16559PR

General Provider Information

NPI Number : 1710108964
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANA DIAZ-FELIX M.D.
Provider Business Mailing Address
First Line : 101 S DIXIE DR
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-2844
Country : US
Telephone Number : 787-559-1105
Fax Number :
Provider Business Practice Location Address
First Line : 101 S DIXIE DR
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-2844
Country : US
Telephone Number : 787-559-1105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 10/28/2016

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