Active NPI
Emma Edelmira Diaz, MD
- Pediatric Pathology Physician
- Tampa, FL
National Provider Identifier
1255464681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pathology Physician
- License
- ME 77657
- Practice address
- 5610 W la Salle St
Tampa, FL 33607-1770 - Phone
- (813) 287-8998
- Fax
- (813) 251-1136
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pathology Physician | 207ZP0213X | ME 77657 | FL | Primary |
Addresses
Primary practice location
5610 W la Salle St
Tampa, FL 33607-1770
Mailing address
12008 Wandsworth Dr
Tampa, FL 33626-2613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 77657 | FL | MD | Pediatric Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255464681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12008 WANDSWORTH DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 W LA SALLE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071770",
"telephone_number": "813-287-8998",
"fax_number": "813-251-1136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "EMMA",
"middle_name": "EDELMIRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "FL",
"license": "ME 77657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.