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General NPI Number Information
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NPI Number | 1194591966
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Entity Type | Organization
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Legal Business Name | DIANA HEALTH FL P.A.
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1046 MAR WALT DR SUITE 200
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547
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Country | US
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Telephone | 850-243-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 178 COLUMBUS AVE #237190 SMB#33783
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PAYER RELATIONS
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Name | CAITLIN EISENBARTH
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Credential |
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Telephone | 850-243-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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