Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aurora Medical Group Corp

Organization Physical Medicine & Rehabilitation Physician · NPI 1306487202

Aurora Medical Group Corp is a Physical Medicine & Rehabilitation Physician in Tampa, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1419 W Waters Ave Ste 106
Tampa, FL 33604-2896
Phone: (813) 444-1600
Fax: (813) 295-8029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1306487202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anisley Lanza Diaz — President · (813) 403-2567
NPI enumeratedOctober 1, 2019
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address1419 W Waters Ave Ste 106, Tampa, FL 33604-2896

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