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NPI Code Detail

MEDICARE: DR. DIANA STAYKOVA MD

MEDICARE:  DR. DIANA  STAYKOVA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME 110707FL

General Provider Information

NPI Number : 1568621530
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA STAYKOVA MD
Provider Business Mailing Address
First Line : 3381 TOWN AVE
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-1083
Country : US
Telephone Number : 727-246-3550
Fax Number : 813-346-3571
Provider Business Practice Location Address
First Line : 3381 TOWN AVE
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-1083
Country : US
Telephone Number : 727-246-3550
Fax Number : 813-346-3571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2008
Last Update Date : 04/07/2022

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Directions to “ DR. DIANA STAYKOVA MD” Practice Location

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