MEDICARE: JENNIFER LEA SEMINERIO-DIEHL 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	207RG0100X	Gastroenterology Physician	ME132956	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LM120	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0449H	OTHER	FL	BLUE CROSS BLUE SHIELLD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245495878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LEA SEMINERIO-DIEHL MD

Provider Business Mailing Address
First Line	:	265 E ROLLINS ST STE 10000
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5502
Country	:	US
Telephone Number	:	407-303-9921
Fax Number	:

Provider Business Practice Location Address
First Line	:	265 E ROLLINS ST STE 10000
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5502
Country	:	US
Telephone Number	:	407-303-9921
Fax Number	:

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

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	10/29/2024

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