Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | ME0020279 | FL |
NPI | 1922130665 |
---|---|
Provider Name | Dr. Joseph F Diaco |
First Address | Tampa, FL 33609-4130 |
Second Address | Tampa, FL 33609-4130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 08/07/2007 |