IndividualActive
Emanuel Diaz, MD
NPI 1457538217 · Family Medicine Physician · Patrick Afb, FL
Provider details
- NPI number
- 1457538217
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-122688 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone: (321) 494-8216
Approximate (ZIP-level) locationGet directions
Mailing address
316 Barrymore Dr
Rockledge, FL 32955-4760
Registry dates
- Enumerated
- 2008-01-23
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.