Individual provider Active NPI

Tamara Lopez Diaz, M.D

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1023478880
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 127189 Issued in FL
Practice address
13795 SW 36TH Avenue Rd Ste 4
Ocala, FL 34473
Phone
(352) 347-5444
Fax
(352) 347-3162
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 127189 FL Primary

Addresses

Primary practice location

13795 SW 36TH Avenue Rd Ste 4
Ocala, FL 34473

Mailing address

13795 SW 36TH Avenue Rd Ste 4
Ocala, FL 34473-6104
Phone (352) 347-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170327002813 FL Practitioner - Family Practice 8628353018 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 127189FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Marion County Inc Family Medicine CurrentSince Aug 20, 2019 Accepting new patients
Center for Comprehensive Palliative Care L L C CurrentSince Jun 8, 2019 Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients

Locations

13795 SW 36th Avenue Rd
Ste 4
Ocala, FL 34473
Phone (352) 291-1300

3231 SW 34th Ave
Ocala, FL 34474
Phone (352) 873-7400

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Empath HealthOcala, FL, CCN 101518 Hospice W-2 Managing Employee Oct 6, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1023478880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13795 SW 36TH AVENUE RD STE 4",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344736104",
            "telephone_number": "352-347-5444",
            "fax_number": "352-347-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13795 SW 36TH AVENUE RD STE 4",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34473",
            "telephone_number": "352-347-5444",
            "fax_number": "352-347-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DIAZ",
        "first_name": "TAMARA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 127189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.