1. Home
  2. Directory
  3. Florida
  4. Tavares
  5. Internal Medicine
  6. NPI Profile

JORGE O. DIAZ, MD PA
NPI 1083287866
Internal Medicine - Clinical Cardiac Electrophysiology in Tavares, FL

Active since July 20, 2021
1825 SALK AVE, TAVARES, FL 32778(407) 444-4848(407) 444-4870 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2023, Jul 20, 2021 (2 updates tracked since 2021).

About Jorge O. Diaz, Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORGE O. DIAZ, MD PA (NPI 1083287866) is a healthcare organization registered as a clinical cardiac electrophysiology in Tavares, Florida and active in the NPI registry since July 2021. The organization lists Jorge O. Diaz, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1083287866
Entity TypeOrganization
Primary Taxonomy207RC0001X
Legal Business NameJORGE O. DIAZ, MD PA
Location Address1825 SALK AVETavares, FL 32778-4311
Mailing Address5224 Sr 46 # 376Sanford, FL 32771-9230 · (407) 444-4848 · Fax (407) 444-4870
Phone(407) 444-4848
Fax(407) 444-4870
Organization SubpartYes
Authorized OfficialJorge O. DiazAuthorized Official · (407) 444-4848
Enumeration DateJuly 20, 2021
Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1083287866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
1825 SALK AVE, Tavares, FL 32778
Open in Google Maps ↗

Other Identifiers 1

Medicaid015249701FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY WILLIS
Nurse Practitioner (Family)
1825 SALK AVE
TAVARES, FL 32778
Lake County (352) 343-1158
SAMEH NAZEEH ADLY MOHAREB MD, M.B.,BCH.
Internal Medicine (Cardiovascular Disease)
1825 SALK AVE
TAVARES, FL 32778
Lake County (352) 343-1158
MOKHTAR KHALED ELSAYED RADWAN DO
Internal Medicine
1825 SALK AVE
TAVARES, FL 32778
Lake County (352) 343-1158
KEISHLA HERNANDEZ CRUZ FNP
Nurse Practitioner (Family)
1825 SALK AVE
TAVARES, FL 32778
Lake County (689) 209-8947
PRABHAKARA KUNAMNENI MD
Internal Medicine (Cardiovascular Disease)
1825 SALK AVE
TAVARES, FL 32778
Lake County (352) 343-1158

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge O. Diaz, MD PA's NPI number?

The NPI number for Jorge O. Diaz, MD PA is 1083287866. It was assigned to this organization in the NPPES registry on July 20, 2021.

Where is Jorge O. Diaz, MD PA located?

Jorge O. Diaz, MD PA is located at 1825 Salk Ave, Tavares, FL 32778. The listed phone number is (407) 444-4848.

What is Jorge O. Diaz, MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

When was this NPI record last updated?

The NPPES record for Jorge O. Diaz, MD PA was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.