Diebel, Mark Edward

Diebel, Mark Edward is an individual health care provider with primary practice located at 11945 San Jose Blvd , Jacksonville FL 32223-1613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Diebel, Mark Edward can be contacted via phone (904) 398-0033.

Contact Information

Primary practice address
11945 San Jose Blvd Jacksonville FL 32223-1613
Phone: (904) 398-0033
Fax: (904) 398-6774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME132260 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 69439-20 Wisconsin

Profile Details

NPI number 1932455136
LBN Legal business name Diebel, Mark Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2012
Last updated Oct 12th, 2019 - about 6 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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