DR. CONSTANTINO DIAZ


Address: 820 Prudential Dr, Suite 713, Jacksonville, FL 32207-8210
Phone: 9043965682

DR. CONSTANTINO DIAZ (NPI# 1598080004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598080004
Entity Type Individual
Full Name DR. CONSTANTINO DIAZ
Credential MD
Practice Address 820 Prudential Dr
Suite 713
Jacksonville
FL 32207-8210
Practice Telephone 9043965682
Mailing Telephone 9043965682
Enumeration Date 2010-03-29
Last Update Date 2017-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine ME118046 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 820 PRUDENTIAL DR
SUITE 713
City JACKSONVILLE
State FL
Zip Code 32207-8210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831194166 Irene E Lipinski Specialist 820 Prudential Dr, Suite 606, Jacksonville, FL 32207-8210 2005-06-14
1013529676 Sarah Victoria Brinkley Registered Nurse 820 Prudential Dr, Jacksonville, FL 32207-8210 2020-08-17
1609324664 Casey Gerry Anesthesiologist Assistant 820 Prudential Dr, Suite 606, Jacksonville, FL 32207-8210 2016-09-19
1801341409 Colleen Lentz Genetic Counselor, MS 820 Prudential Dr, Suite 412b, Jacksonville, FL 32207-8210 2016-08-24
1508319500 David Ryan Diehl Anesthesiologist Assistant 820 Prudential Dr, Suite 606, Jacksonville, FL 32207-8210 2016-07-27
1740655018 Dorie Hanson Counselor 820 Prudential Dr, Jacksonville, FL 32207-8210 2015-12-11
1093107526 Laura Beth Pope Nurse Practitioner 820 Prudential Dr, Jacksonville, FL 32207-8210 2015-02-20
1033508924 Erin Beckett Registered Nurse 820 Prudential Dr, Jacksonville, FL 32207-8210 2015-01-15
1336543677 Sean Mulvaney Anesthesiologist Assistant 820 Prudential Dr, Suite 606, Jacksonville, FL 32207-8210 2014-10-15
1235532730 Alexander Jagernauth Anesthesiologist Assistant 820 Prudential Dr, Ste 606, Jacksonville, FL 32207-8208 2014-09-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427690353 Emergency Physicians Inc Emergency Medicine 9868 Family Place, Jacksonville, FL 32222 2019-10-11
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1922525229 Dwic of Tampa Bay, Inc Emergency Medicine 11985 Atlantic Boulevard, Jacksonville, FL 32225-2919 2017-08-28
1063945541 Hassan Mohammad Aboudan Emergency Medicine 8455 Stables Rd, Jacksonville, FL 32256-7265 2017-04-11
1639626476 Emergency Physicians Inc Emergency Medicine 11250 Baptist Health Drive, Suite 713, Jacksonville, FL 32218 2016-09-09
1497107957 Frank Rodriguez Emergency Medicine 7615 Hunters Grove Rd, Jacksonville, FL 32256-7210 2016-07-08
1649631391 Emergency Physicians Inc Emergency Medicine 4085 Town Center Pkwy, Jacksonville, FL 32246-8580 2016-03-09
1619387099 John Michael Kiel Emergency Medicine Department of Emergency Medicine, 125 Floor Clinical Ce, 655 West 8th Street, C506, Jacksonville, FL 32209-3220 2014-05-06
1225455306 James Esser Barr Emergency Medicine 653 W 8th St # L15, Jacksonville, FL 32209-6511 2014-03-26
1992122170 Nadia Bakor Emergency Medicine 6477 103rd St, Jacksonville, FL 32210-7129 2014-03-25
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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