MEDICARE: MR. MICHAEL RAYMOND DIANA PA-C

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	363A00000X	Physician Assistant	PA9101509	FL

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

General Provider Information

NPI Number	:	1558338822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL RAYMOND DIANA PA-C

Provider Business Mailing Address
First Line	:	PO BOX 44008
Second Line	:	UFJP PROVIDER ENROLLMENT
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4008
Country	:	US
Telephone Number	:	904-244-3199
Fax Number	:	904-244-3425

Provider Business Practice Location Address
First Line	:	7645 MERRILL RD STE 301
Second Line	:	UFJP MERRILL STATION FAMILY PRACTICE CENTER
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-6575
Country	:	US
Telephone Number	:	904-699-0285
Fax Number	:	904-633-0286

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

Provider Enumeration Date	:	03/04/2006
Last Update Date	:	06/22/2011

Similar Medicare Providers

1760459788 — DR. SUSAN LEE HOFFMANN M.D.
Practice Location Address:

7645 MERRILL RD STE 301 , UFJP MERRILL RD FAMILY MEDICINE
JACKSONVILLE, FL
32277-6575

Practice Phone: 904-633-0285
Practice Fax: 904-633-0286

1588233779 — UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Practice Location Address:

7645 MERRILL RD STE 301
JACKSONVILLE, FL
32277-6575

Practice Phone: 904-633-0285
Practice Fax: 904-633-0286

1578421053 — R.O.B. THE FOUNDATION
Practice Location Address:

7707 MERRILL RD UNIT 8309
JACKSONVILLE, FL
32277

Practice Phone: 904-610-5628
Practice Fax:

1538160007 — MRS. PENEMARIE KALLAS MURPHY PT
Practice Location Address:

7001 MERRILL RD STE 27
JACKSONVILLE, FL
32277-2600

Practice Phone: 904-744-0277
Practice Fax: 904-744-0263

1144222696 — DR. ELAINE G HOLMES M.D.
Practice Location Address:

6484 FORT CAROLINE RD
JACKSONVILLE, FL
32277-2042

Practice Phone: 904-744-7300
Practice Fax: 904-722-4271

1982686366 — SOUTHERN CARDIAC NUCLEAR IMAGING LLC
Practice Location Address:

6484 FORT CAROLINE RD
JACKSONVILLE, FL
32277-2042

Practice Phone: 352-332-5755
Practice Fax: 866-887-9246

Directions to “ MR. MICHAEL RAYMOND DIANA PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.