Active NPI
Aurora Medical Group. Corp
- Physical Medicine & Rehabilitation Physician
- Tampa, FL
National Provider Identifier
1306487202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- AURORA MEDICAL GROUP. CORP
- Practice address
- 1419 W Waters Ave Ste 106
Tampa, FL 33604-2896 - Phone
- (813) 444-1600
- Fax
- (813) 295-8029
- NPI assigned
- Oct 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anisley Lanza Diaz, RN, BSN, MSN
- Title
- President
- Phone
- (813) 403-2567
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1419 W Waters Ave Ste 106
Tampa, FL 33604-2896
Mailing address
1419 W Waters Ave Ste 106
Tampa, FL 33604-2896
Phone (813) 444-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2715 W Sligh Ave
Tampa, FL 33614
Phone (813) 403-2567
1419 W Waters Ave
Ste 106
Tampa, FL 33604
Phone (813) 444-1600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Brooksville, FL
- NPI 1295998037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1306487202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 W WATERS AVE STE 106",
"city": "TAMPA",
"state": "FL",
"postal_code": "336042896",
"telephone_number": "813-444-1600",
"fax_number": "813-295-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 W WATERS AVE STE 106",
"city": "TAMPA",
"state": "FL",
"postal_code": "336042896",
"telephone_number": "813-444-1600",
"fax_number": "813-295-8029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA MEDICAL GROUP. CORP",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-01",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A",
"authorized_official_last_name": "LANZA DIAZ",
"authorized_official_first_name": "ANISLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-403-2567",
"authorized_official_credential": "RN, BSN, MSN"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"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 Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.