| Michael Diaz, MD | |
|
1201 5th Ave N Ste 505, St Petersburg, FL 33705-1455 | |
| (727) 821-0017 | |
| (727) 821-7473 |
| Full Name | Michael Diaz |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 26 Years |
| Location | 1201 5th Ave N Ste 505, St Petersburg, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871574186 | NPI | - | NPPES |
| 272291700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0000X | Internal Medicine - Hematology | ME84878 (Florida) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | ME84878 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Anthonys Hospital | Saint petersburg, FL | Hospital |
| Palms Of Pasadena Hospital | Saint petersburg, FL | Hospital |
| Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
| St Petersburg General Hospital | Saint petersburg, FL | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Cancer Specialists And Research Institute, Llc | 2567356058 | 397 |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Diaz, MD Po Box 102222, Attn: Credentialing Dept, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Michael Diaz, MD 1201 5th Ave N Ste 505, St Petersburg, FL 33705-1455 Ph: (727) 821-0017 |
Nandkishor Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite# 100, St Petersburg, FL 33710 Phone: 727-347-2780 Fax: 727-347-5508 | |
Francisco Jesus Rey, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5425 Park St N Ste 7w, St Petersburg, FL 33709 Phone: 727-202-8140 Fax: 727-202-8252 | |
David A. Weiland Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 Fax: 727-893-6930 | |
Dr. Rakesh Mittal, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N, Suite N105, St Petersburg, FL 33709 Phone: 727-527-0797 Fax: 727-528-7703 | |
Dr. Lilian Enyonam Ahiable, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7111 1st Ave S, St Petersburg, FL 33707 Phone: 727-300-2282 Fax: 727-321-2680 | |
Dr. Alia Celeste Sommerville, D.O., MSC. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, Northside Hospital, St Petersburg, FL 33709 Phone: 727-521-5057 Fax: 727-521-5022 | |
Kayla Marie Worthington, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 3520 38th Ave N, St Petersburg, FL 33713 Phone: 727-471-5039 Fax: 727-471-6446 |