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David Daniel Dieterich, DO
Cardiovascular Disease Physician in Clearwater, Florida
NPI 1083603591

David Daniel Dieterich is a Cardiovascular Disease Physician based in Clearwater, FL and is specialized in Cardiovascular Disease. David Daniel Dieterich practices in Clearwater, FL and has the professional credentials of DO. The NPI Number for David Daniel Dieterich is 1083603591 and holds a License No. 053669 (Florida).

The current practice location address for David Daniel Dieterich is 455 Pinellas St, Clearwater, FL and can be reached out via phone at 727-445-1991 and via fax at 727-445-1986.

Location: 455 Pinellas St, Clearwater, FL, 33756-3356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083603591
Provider Name
David Daniel Dieterich
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
455 Pinellas St, Clearwater, FL, 33756-3356
Phone Number
727-445-1991
Fax Number
727-445-1986
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
065988600 05 FL
82318X 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
455 Pinellas St
City
Clearwater
State
Florida
Zip
33756-3356
Phone Number
727-445-1991
Fax Number
727-445-1986
person
Provider Business Mailing Address Details
Address
455 Pinellas St
City
Clearwater
State
Florida
Zip
33756-3356
Phone Number
727-445-1991
Fax Number
727-445-1986
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
053669 (Florida)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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