Individual provider · Type 1 NPI
Ileana M. Diaz Corujo, MD, PA
Medical Physician Assistant · Orlando, FL
NPI number
1205632999
Active
Practice location
13148 Summerton Dr
Orlando, FL 32824-6259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2452 (PR) |
Medical Physician Assistant: Definition to come...
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About NPI 1205632999
Ileana M. Diaz Corujo, MD, PA's National Provider Identifier is 1205632999, issued on Feb 22, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Feb 22, 2025.