Diez-Hoeck, Graciela

Diez-Hoeck, Graciela is an individual health care provider with primary practice located at 1577 Roberts Dr Ste 224 Credentialing Department, Jacksonville Beach FL 32250-3265. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Diez-Hoeck, Graciela can be contacted via phone (904) 249-6940.

Contact Information

Primary practice address
1577 Roberts Dr Ste 224 Credentialing Department Jacksonville Beach FL 32250-3265
Fax: (904) 246-6993
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME70795 Florida

Profile Details

NPI number 1710992490
LBN Legal business name Diez-Hoeck, Graciela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 24th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710992490 NPPES
Florida Other P01065783 RR MEDICARE

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