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

Lisa Marie Diaz, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225424740

Lisa Marie Diaz, DO is a Dermatology in Tampa, Florida. Qualified in 2014, 12 years ago. Practices with Ohi West Medical Group II LLC, a 409-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

17401 Commerce Park Blvd Ste 104
Tampa, FL 33647-3507
Phone: (813) 751-0777
Fax: (813) 377-1727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7229 Us Highway 301 S, Riverview, FL 33578-4346 — (813) 751-0777
  • 2727 W Dr Martin Luther King Jr Blvd Ste 760, Tampa, FL 33607-6358 — (813) 751-0777

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS13514 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225424740
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address38135 Market Sq, Zephyrhills, FL 33542-7505

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ohi West Medical Group Ii Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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