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

Nicholas Diaz

Individual provider Nurse Practitioner · NPI 1205518065

Nicholas Diaz is a Nurse Practitioner in Tampa, Florida. Qualified in 2023, 3 years ago. Practices with Emergency Medical Associates of Tampa Bay LLC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2502 W Saint Isabel St
Tampa, FL 33607-6318
Phone: (813) 874-5707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6901 Simmons Loop, Riverview, FL 33578-9498 — (813) 302-8000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11028427 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9502733 (FL)

Record details

NPI number1205518065
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 2, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateAugust 30, 2023
Mailing address5556 Silver Sun Dr, Apollo Beach, FL 33572-2085

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Emergency Medical Associates Of Tampa Bay Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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