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NPI Code Detail

MEDICARE: N DONALD DIEBEL SR. M.D., PH.D.

MEDICARE: N DONALD DIEBEL SR. M.D., PH.D.
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
1207V00000XObstetrics & Gynecology PhysicianME0030235FL

Other Identifiers

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

General Provider Information

NPI Number : 1265436182
Entity Type Code : Individual
Provider Name (Legal Business Name) : N DONALD DIEBEL SR. M.D., PH.D.
Provider Business Mailing Address
First Line : PO BOX 25317
Second Line :
City : TAMPA
State : FL
Zip : 33622-5317
Country : US
Telephone Number : 813-286-0033
Fax Number : 813-282-1806
Provider Business Practice Location Address
First Line : 1551 CLAY ST
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-5499
Country : US
Telephone Number : 407-644-5371
Fax Number : 407-345-0856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 01/14/2011

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