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Diely Pichardo, MD
Hematology & Oncology Physician in Melbourne, Florida
NPI 1194701573

Diely Pichardo is a Hematology & Oncology Physician based in Atlanta, FL and is specialized in Hematology & Oncology. Diely Pichardo practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Diely Pichardo is 1194701573 and holds a License No. ME91834 (Florida).

The current practice location address for Diely Pichardo is 1430 S Pine St, Melbourne, FL and can be reached out via phone at 321-952-0898 and via fax at 321-722-1342.

Location: 1430 S Pine St, Melbourne, FL, 30353-4595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194701573
Provider Name
Diely Pichardo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1430 S Pine St, Melbourne, FL, 30353-4595
Phone Number
321-952-0898
Fax Number
321-722-1342
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
287612 01 FL WELLCARE
3789162 01 FL AETNA
03411 01 FL BLUE CROSS BLUE SHIELD
6000828001 01 FL CIGNA
7653665 01 FL AETNA
272209700 05 FL
institution
Provider Business Practice Location Address Details
Address
1430 S Pine St
City
Melbourne
State
Florida
Zip
32901-3119
Phone Number
321-952-0898
Fax Number
321-722-1342
person
Provider Business Mailing Address Details
Address
1430 S Pine St
City
Melbourne
State
Florida
Zip
32901-3119
Phone Number
321-952-0898
Fax Number
321-722-1342
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
ME91834 (Florida)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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