DR. MICHAEL DIAZ (NPI# 1295748176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295748176 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DIAZ |
| Credential | MD |
| Practice Address |
1513 S Harbor City Blvd Melbourne FL 32901 |
| Mailing Address |
1513 S Harbor City Blvd Melbourne FL 32901-4681 |
| Practice Telephone | 3219512639 |
| Practice Fax Number | 3219140938 |
| Mailing Telephone | 3219512639 |
| Mailing Fax Number | 3219140938 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME74679 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COALITION AMERICA/NPPN | EFFECTIVE 07/14/208 | 01 | |
| COVENTRY | EFFECTIVE 11/01/2007 | 01 | |
| TRICARE | EFFECTIVE 10/30/2008 | 01 | |
| WELLCARE | 458713 | 01 | |
| FL | AMERIGROUP | 01226797 | 01 |
| CAREPLUS HEALTH PLAN | 1033065 | 01 | |
| BEECHSTREET NETWORK | 2580722 | 01 | |
| FL | BCBS OF FLORIDA | 44932 | 01 |
| CIGNA | EFFECTIVE 10/20/2008 | 01 | |
| HUMANA CHOICE CARE | EFFECTIVE 12/29/2008 | 01 | |
| AETNA PPO | 7381303 | 01 | |
| ACCOUNTABLE/INTERPLAN HEALTH GROUP | EFFECTIVE 01/01/2009 | 01 | |
| UNITEDHEALTHCARE | EFFECTIVE 10/01/2008 | 01 | |
| AETNA HMO | 6684138 | 01 | |
| EVOLUTIONS | EFFECTIVE 08/07/2008 | 01 | |
| MULTIPLAN/PHCS | EFFECTIVE 10/23/08 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1344 S Apollo Blvd, Suite 100, Melbourne, FL 329013183 | 3219513223 | 3217279448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427234061 | Michael Diaz | Counselor | 440 Cerrillos Rd, Santa Fe, NM 87501-2686 | 2008-01-14 |
| 1912197021 | Michael Diaz | Chiropractor | 5 Dale Ct, Norwood, NJ 07648-1701 | 2007-07-26 |
| 1417156985 | Michael Gelpi Diaz | Occupational Therapist | 124 Rosewood Dr, Metairie, LA 70005-3934 | 2007-07-16 |
| 1881613602 | Michael Diaz Sr. | Dentist | 242 E Airport Dr Ste 100, San Bernardino, CA 92408-3408 | 2006-07-19 |
| 1871574186 | Michael Diaz | Internal Medicine | 1615 Pasadena Ave S, Suite 400, South Pasadena, FL 33707-4516 | 2005-11-14 |
| 1427040021 | Michael C Diaz | Internal Medicine | 105 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-6424 | 2005-08-19 |
| 1811485816 | Michael Anthony Diaz | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143 | 2018-04-25 |
| 1477088029 | Michael A Diaz | Student in an Organized Health Care Education/Training Program | 550 1st Ave, Nyu Langone Medical Center, New York, NY 10016-6402 | 2017-04-20 |
| 1053702407 | Michael Diaz | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2015-02-06 |
| 1972948073 | Michael J Diaz | Registered Nurse | 226 E 144th St, Bronx, NY 10451-5909 | 2013-05-02 |
| Street Address |
1513 S HARBOR CITY BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801305032 | Amy Limonta | Nurse Practitioner | 1513 S Harbor City Blvd, Melbourne, FL 32901-4681 | 2017-09-19 |
| 1962958397 | Michael Diaz M.d. P.a. | Plastic Surgery | 1513 S Harbor City Blvd, Melbourne, FL 32901-4681 | 2016-08-26 |
| 1619287844 | Leavitt Medical Associates of Florida Inc | Dermatology | 1513 S Harbor City Blvd, Melbourne, FL 32901-4681 | 2010-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758893 | Ursula Olazabal | Specialist | 402 N Babcock St Ste 101, Melbourne, FL 32935-7335 | 2020-10-18 |
| 1588101604 | Brevard County Orthopedic & Spine Associates LLC | Specialist | 2090 Sarno Rd, Melbourne, FL 32935-3077 | 2017-01-26 |
| 1962809897 | Independent Lung Associates, Pa | Specialist | 1314 Oak Street, Melbourne, FL 32901 | 2014-11-20 |
| 1043583289 | Kelly M Lieneke | Specialist | 6300 N Wickham Rd Ste 116, Melbourne, FL 32940-2023 | 2012-02-20 |
| 1609165794 | Sumeet Thareja | Specialist | 675 S Babcock Street, Melbourne, FL 32901-1459 | 2011-03-29 |
| 1447583943 | Charla Jean Green | Specialist | 601 E Strawbridge Ave, Melbourne, FL 32901-4733 | 2009-09-15 |
| 1104077841 | Denise Elliott | Specialist | 2447 N Wickham Rd Ste 138, Pmb 147, Melbourne, FL 32935-8127 | 2008-09-30 |
| 1649442047 | East Shore Neurology Pa | Specialist | 240 N Wickham Rd Ste 110, Melbourne, FL 32935-8663 | 2008-03-26 |
| 1144408378 | Richard E Goulding | Specialist | 817 Hogan Way, Melbourne, FL 32940-1789 | 2008-02-11 |
| 1942414420 | Kathleen Savarese | Specialist | 2811 Cameron St, Melbourne, FL 32901-7011 | 2007-05-10 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.