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NPI Code Detail

MEDICARE: DR. LINO DIAZ JR. DPT

MEDICARE:  DR. LINO  DIAZ JR. DPT
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
1225100000XPhysical TherapistPT36074FL

General Provider Information

NPI Number : 1760092381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINO DIAZ JR. DPT
Provider Business Mailing Address
First Line : 7045 EVERGREEN WOOD TRAIL
Second Line :
City : SPRING HILL
State : FL
Zip : 34608
Country : US
Telephone Number : 352-596-8371
Fax Number :
Provider Business Practice Location Address
First Line : 4109 N ARMENIA AVE STE A
Second Line :
City : TAMPA
State : FL
Zip : 33607-6411
Country : US
Telephone Number : 813-588-3342
Fax Number : 813-588-3602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2020
Last Update Date : 04/22/2024

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Directions to “ DR. LINO DIAZ JR. DPT” Practice Location

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