Provider Demographics
NPI:1952581894
Name:DIAZ, ARTURO E (AP)
Entity type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:E
Last Name:DIAZ
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4882
Mailing Address - Country:US
Mailing Address - Phone:407-332-4772
Mailing Address - Fax:407-207-1986
Practice Address - Street 1:1245 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4882
Practice Address - Country:US
Practice Address - Phone:407-332-4772
Practice Address - Fax:407-207-1986
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2480171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2480OtherSTATE LICENSE