MEDICARE: DR. HOWARD DAVID DIENER 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	174400000X	Specialist	ME0049428	FL
2	207RP1001X	Pulmonary Disease Physician	116169	NC

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326033895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD DAVID DIENER MD

Provider Business Mailing Address
First Line	:	3930 BEE RODGE ROAD
Second Line	:	BLDG C. STE C
City	:	SARASOTA
State	:	FL
Zip	:	34233-1207
Country	:	US
Telephone Number	:	941-923-8353
Fax Number	:	941-925-7064

Provider Business Practice Location Address
First Line	:	3920 BEE RIDGE RD
Second Line	:	BLDG C, STE C
City	:	SARASOTA
State	:	FL
Zip	:	34233-1207
Country	:	US
Telephone Number	:	941-923-8353
Fax Number	:	941-925-7064

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	08/29/2016

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Directions to “ DR. HOWARD DAVID DIENER MD” Practice Location

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