Individual provider Active NPI

Julian Angel Diaz Jr., DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1811726508
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15079 Issued in FL
Practice address
17429 Bridge Hill CT
Tampa, FL 33647-3467
Phone
(813) 983-7921
NPI assigned
Jul 30, 2024
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15079 FL Primary

Addresses

Primary practice location

17429 Bridge Hill CT
Tampa, FL 33647-3467

Mailing address

911 E Bloomingdale Ave
Brandon, FL 33511-8118
Phone (954) 864-6913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001002169 FL Practitioner - Chiropractic 0143751107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15079FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro PC Rosado FL PLLC Chiropractor CurrentSince May 25, 2025 Accepting new patients
Ascend Holistic Health PLLC Chiropractor CurrentSince Aug 25, 2025 Accepting new patients
North Tampa Spine & Joint Center LLC CurrentSince Jul 1, 2026 Accepting new patients
Tradition Family Chiropractic Chiropractor CurrentSince Jul 8, 2024 Accepting new patients

Locations

911 E Bloomingdale Ave
Brandon, FL 33511
Phone (813) 662-4360

10552 SW Village Pkwy
Port St Lucie, FL 34987
Phone (772) 345-0060

17429 Bridge Hill Ct
Tampa, FL 33647
Phone (813) 983-7921

Organizations & group practices 4

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": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1811726508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118118",
            "telephone_number": "954-864-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17429 BRIDGE HILL CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473467",
            "telephone_number": "813-983-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JULIAN",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15079",
            "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 Mar 2, 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.

Verify at the official NPI Registry.