person
Izadora Izidoro Diehl, MD
General Practice Physician in Orlando, Florida
NPI 1780189902

Izadora Izidoro Diehl is a General Practice Physician based in Winter Garden, FL. Izadora Izidoro Diehl practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Izadora Izidoro Diehl is 1780189902 and holds a License No. ME165428 (Florida).

The current practice location address for Izadora Izidoro Diehl is 4700 Millenia Boulevard, Orlando, FL and can be reached out via phone at 770-375-7568.

Location: 4700 Millenia Boulevard, Orlando, FL, 34787-7002
person
Provider Profile Details
NPI Number
1780189902
Provider Name
Izadora Izidoro Diehl
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4700 Millenia Boulevard, Orlando, FL, 34787-7002
Phone Number
770-375-7568
Fax Number
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME165428 01 FL LICENSE # BY FLORIDA MEDICAL BOARD
MD-21547 01 HI LICENSE # BY HAWAII MEDICAL BOARD
2020-00312 01 NC LICENSE # BY NORTH CAROLINA MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
4700 Millenia Boulevard
City
State
Zip
32839
Phone Number
770-375-7568
Fax Number
person
Provider Business Mailing Address Details
Address
4700 Millenia Boulevard
City
State
Zip
32839
Phone Number
770-375-7568
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME165428 (Florida)
Definition
Definition to come...
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