Diamond, Michael A

Diamond, Michael A is an individual health care provider with primary practice located at 709 N Clyde Morris Blvd , Daytona Beach FL 32114-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Diamond, Michael A can be contacted via phone (386) 252-1632.

Contact Information

Primary practice address
709 N Clyde Morris Blvd Daytona Beach FL 32114-1603
Phone: (386) 252-1632
Fax: (386) 257-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME0013576 Florida

Profile Details

NPI number 1447242151
LBN Legal business name Diamond, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Mar 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447242151 NPPES
Florida Other 64350 BLUE CROSS/BLUE SHIELD
Florida MEDICAID 036454100 BLUE CROSS/BLUE SHIELD

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