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General NPI Number Information
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NPI Number | 1306809512
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Entity Type | Individual
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Provider Name | ROBERTO J DIAZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | ADVENTHEALTH MEDICAL GROUP GASTROENTEROLOGY & HEPATOLOG 4325 SUN N. LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872
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Country | US
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Telephone | 863-402-3310
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Fax | 863-664-7710
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Provider Business Mailing Address
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Address Line | 4325 SUN N LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872
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Country | US
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Telephone | 863-402-3310
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Fax | 863-664-7710
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME0071926
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License Number State | FL
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