Provider Demographics
NPI:1962543389
Name:DIAZ, ROBERTO (MD)
Entity type:Individual
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First Name:ROBERTO
Middle Name:
Last Name:DIAZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12902 USF MAGNOLIA DR
Mailing Address - Street 2:MCC-RAD ONC, MOFFITT CANCER CENTER & RESEARCH INSTITUTE
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-9416
Mailing Address - Country:US
Mailing Address - Phone:813-745-8592
Mailing Address - Fax:813-745-7231
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:MCC-RAD ONC, MOFFITT CANCER CENTER & RESEARCH INSTITUTE
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-8592
Practice Address - Fax:813-745-7231
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2014-05-28
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Provider Licenses
StateLicense IDTaxonomies
FLME 1189182085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology