Diane Walder Mdpa
Organization Active NPI Specialist · Bay Harbor Islands, FL
NPI 1013940774 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013940774
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- ME39412 (FL)
- Legal business name
- DIANE WALDER MDPA
- Practice address
- 1111 Kane Concourse
Suite 100
Bay Harbor Islands, FL 33154-2029 - Phone
- (305) 866-2177
- Fax
- (305) 866-5302
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Diane Walder, MD
- Title
- President
- Phone
- (305) 866-2177
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | ME39412 | FL | Yes |
Addresses
Primary practice location
1111 Kane Concourse
Suite 100
Bay Harbor Islands, FL 33154-2029
Mailing address
1111 Kane Concourse
Suite 100
Bay Harbor Islands, FL 33154-2029
Phone (305) 866-2177
Other providers in Bay Harbor Islands, FL
- Menachem Dahan
- Ivana Davinic
- Arlen De Armas
- DG Heritage Medical Services ,LLC
- Oliver R Di Pietro
- Diane Walder Mdpa
- Giselle Dominguez Acosta
- Jeffrey Glen Draesel
- Jeffrey Glen Draesel Jr.
- Drgmed, Inc.
All providers in Bay Harbor Islands, FL · Specialist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.