Search › Florida › Child & Adolescent Psychiatry Physician
Jorge Diaz, M.D
NPI 1578978342 · on the registry since 2014 · sole proprietor
Practice
- Address
- 90 Fort Wade Rd Ste 100
Ponte Vedra Beach, FL 32081 - Phone
- (904) 466-8916
- Fax
- (904) 302-6954
- Organisation at this address
- Leonie King Llc
Branch Lane PsychotherapyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 248 Southpark Cir E, Saint Augustine, FL
Registry record
- Primary taxonomy
- Child & Adolescent Psychiatry Physician
2084P0804X
- Also registered as
- Psychiatry Physician
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida