JESUS DIAZ VERA

LARGO, FL
NPI1083177851
Former NameJESUS DIAZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine Infectious Disease
(Licence: FL  ME168436)
Enumeration Date2019-04-09
Last Update Date2024-06-10
Business Address
JESUS DIAZ VERA
1258 W BAY DR STE D
LARGO, FL 33770-2277
Phone number: 727-420-6374
Mailing Address
JESUS DIAZ VERA
10460 ROOSEVELT BLVD N # 169
SAINT PETERSBURG, FL 33716-3821
Phone number: 727-420-6374