Individual provider Active NPI

Edward Diaz, APRN, FNP-BC

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1225758337
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021878 Issued in FL
Practice address
5979 Vineland Rd Ste 109
Orlando, FL 32819-7857
Phone
(407) 340-6640
Fax
(321) 275-3720
NPI assigned
Aug 30, 2022
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11021878 FL Primary

Addresses

Primary practice location

5979 Vineland Rd Ste 109
Orlando, FL 32819-7857

Mailing address

2480 Cherry Laurel Dr Apt 402
Sanford, FL 32771-8860
Phone (407) 443-5577

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209000502 FL Practitioner - Nurse Practitioner 2860864329 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11021878FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Certmedicals Walk in Clinic and Wound Care PLLC CurrentSince Jan 31, 2023 Accepting new patients
Wound Technology Network Inc CurrentSince Jun 30, 2025 Accepting new patients
WT Health of Florida LLC CurrentSince Jun 30, 2025 Accepting new patients

Locations

917 Rinehart Rd
Ste 2041
Lake Mary, FL 32746
Phone (321) 926-3649

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1225758337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 CHERRY LAUREL DR APT 402",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718860",
            "telephone_number": "407-443-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197857",
            "telephone_number": "407-340-6640",
            "fax_number": "321-275-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "EDWARD",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.