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NPI Code Detail

MEDICARE: DR. SARAH JEAN DIEKMAN

MEDICARE:  DR. SARAH JEAN DIEKMAN
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
12083X0100XOccupational Medicine PhysicianD0093111MD

General Provider Information

NPI Number : 1427497908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH JEAN DIEKMAN
Provider Business Mailing Address
First Line : 2717 SW 98TH DR
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-8679
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5000 THAYER CTR STE C
Second Line :
City : OAKLAND
State : MD
Zip : 21550-1139
Country : US
Telephone Number : 833-768-7633
Fax Number : 949-437-2692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2013
Last Update Date : 08/01/2022

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Directions to “ DR. SARAH JEAN DIEKMAN ” Practice Location

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