Male or Other

Dr. Jorge A. Diaz M.D.

Child & Adolescent Psychiatry Physician in Ponte Vedra Beach, FL(View on Map)

Full Name

Dr. Jorge Andres Diaz M.D.

NPI Number

1578978342

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/30/2014

Specialties

(Taxonomies)

Code

2084P0804X
2084P0800X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME131930

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 44230
400 COLONNADE DR STE 200

City

Jacksonville
Ponte Vedra Beach

State

FL
FL

Postal Code

32231-4230
32081-6236

Country

US
US

Telephone Number

(904) 376-3800
(904) 376-3800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/02/2021

Provider Address

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