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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME118046 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
820 PRUDENTIAL DR SUITE 713 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8210 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| 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 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.