Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Juan Diaz, PA

Physician Assistant in Fort Myers, FL · enumerated 2016 · practices at Millennium Physician Group LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205385788

Verified

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Registry record

Entity type Individual (Type 1)

Name Juan Diaz

Credential PA

Sex Male

Practice address 13214 Palm Beach Blvd, Fort Myers, FL, 33905

Phone (239) 694-7887

Fax (239) 694-8941

Enumeration date Sep 26, 2016

Last updated in NPPES Jul 21, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PAT 9109751 (FL) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
020653300	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Juan Diaz?

Juan Diaz is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.