| Jose A Diaz, MD | |
|
2780 Cleveland Ave, # 702, Fort Myers, FL 33901 | |
| (239) 343-3474 | |
| (239) 343-2968 |
| Full Name | Jose A Diaz |
|---|---|
| Gender | Male |
| Speciality | Surgery - Trauma Surgery |
| Location | 2780 Cleveland Ave, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548415086 | NPI | - | NPPES |
| 000771800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | ME92159 (Florida) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | ME92159 (Florida) | Primary |
| Entity Name | Lee County Trauma Services District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639226608 PECOS PAC ID: 6305733742 Enrollment ID: O20040302000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A Diaz, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-1479 | Jose A Diaz, MD 2780 Cleveland Ave, # 702, Fort Myers, FL 33901 Ph: (239) 343-3474 |
Dr. Scott B Patterson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901 Phone: 239-343-3474 Fax: 239-343-2968 | |
Joseph Froilan Yurich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15730 New Hampshire Ct, Fort Myers, FL 33908 Phone: 239-481-0033 Fax: 321-966-8322 | |
Dr. Rachel A Titus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1075 | |
Dr. Kendrick D Mcarthur, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 | |
Lilly Ann Bayouth, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 13685 Doctors Way Ste 100, Fort Myers, FL 33912 Phone: 239-343-1612 Fax: 239-343-4229 | |
Dr. John Anthony Moss, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-936-8555 Fax: 239-936-5611 | |
Peggy C. Kalkounos, DO Surgery Medicare: Medicare Enrolled Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 |