Tamara Lopez Diaz, Md. PA

NPI #1124579974 in Belleview, Florida

Provider Information

NPI Number: 1124579974
Entity Type: Organization
Organization Name: Tamara Lopez Diaz, Md. PA
Primary Specialty: Family Medicine
Enumeration Date: Oct 17, 2016
Last Updated: Jan 24, 2019

Practice Location

Address: 12301 SE US HIGHWAY 441 STE C
City: Belleview
State: Florida
ZIP Code: 34420
Phone: (352) 327-8106

Authorized Official

Name: DR. TAMARA LOPEZ DIAZ, M.D.
Title: PRESIDENT
Phone: (786) 278-1337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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