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

Jason Lee Diaz, PA-C

Individual provider Physician Assistant · NPI 1912669409

Jason Lee Diaz, PA-C is a Physician Assistant in Fort Lauderdale, Florida. Qualified in 2021, 5 years ago. Practices with Complete Local Specialty Care Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3690 Davie Blvd
Fort Lauderdale, FL 33312-3440
Phone: (954) 833-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115038 (FL)

Record details

NPI number1912669409
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Complete Local Specialty Care Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Lauderdale