Diane a Schlick DO LLC
Organization Active NPI Family Medicine Physician · Perry, FL
NPI 1205943164 · NPPES record last updated Aug 2, 2007
Key facts
- NPI
- 1205943164
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS7860 (FL)
- Legal business name
- DIANE A SCHLICK DO LLC
- Practice address
- 616 S Jefferson St
Perry, FL 32347-4115 - Phone
- (850) 584-5876
- Fax
- (850) 584-4939
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Diane A Schlick, DO
- Title
- Proprieter
- Phone
- (850) 584-5876
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | OS7860 | FL | Yes |
Addresses
Primary practice location
616 S Jefferson St
Perry, FL 32347-4115
Mailing address
616 S Jefferson St
Perry, FL 32347-4115
Phone (850) 584-5876
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256619200 | Medicaid | FL |
Other names
- Diane A. Haisten, DO, LLC
Other providers in Perry, FL
- Jenna I Culpepper
- Lori Elizabeth Dart Hearne
- Dawna Marie Haswell
- Annie Day
- Developmental Rehabilitative Services
- Disc Village, Inc.
- DMH Anesthesia Group LLC
- DMH Emergency Physician Group, LLC
- Doctors Memorial Hospital
- Doctors Memorial Hospital
All providers in Perry, FL · Family Medicine Physician 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 2, 2007. 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.