Neisa I. Diaz, M.D., L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

97050 Issued in FL

Legal business name

NEISA I. DIAZ, M.D., L.L.C.

Practice address

13501 Icot Blvd
Suite 114
Clearwater, FL 33760-3729

Phone

(727) 754-7880

Fax

(727) 754-7885

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neisa I Diaz, M.D.NPI 1033240510

Title

Owner

Phone

(727) 754-7880

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neisa I Diaz, MD

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1033240510
  Authorized official Same address or phone

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1659713261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 ICOT BLVD",
            "address_2": "SUITE 114",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603729",
            "telephone_number": "727-754-7880",
            "fax_number": "727-754-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 ICOT BLVD",
            "address_2": "SUITE 114",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603729",
            "telephone_number": "727-754-7880",
            "fax_number": "727-754-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEISA I. DIAZ, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NEISA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-754-7880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "97050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277721500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neighborly Care Network
• Neighborly Care Network
• Neighborly Care Network
• Neil Hook, O.D. and Associates, P.a.
• Maria Jose Neira
• Elsie Nelson
• Eric T Nelson, P.T.
• Jennifer Nelson, M.S., CCC-SLP
• Rachel Nelson, M.S., CCC-SLP
• Sharon Ann Nelson, PT

• Internal Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.