MEDICARE: DIANA SREDNI 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
1	208000000X	Pediatrics Physician	ME83986	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689661449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA SREDNI MD

Provider Business Mailing Address
First Line	:	900 S PINE ISLAND RD
Second Line	:	STE 800
City	:	PLANTATION
State	:	FL
Zip	:	33324-3920
Country	:	US
Telephone Number	:	305-682-9877
Fax Number	:	305-682-1602

Provider Business Practice Location Address
First Line	:	21097 NE 27TH CT
Second Line	:	#205
City	:	AVENTURA
State	:	FL
Zip	:	33180-1204
Country	:	US
Telephone Number	:	305-682-9877
Fax Number	:	305-682-1602

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	09/11/2020

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Directions to “ DIANA SREDNI MD” Practice Location

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