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
Phone: (904) 249-6940
Fax: (904) 246-6993
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710992490 | NPPES |
Florida | Other | P01065783 | RR MEDICARE |
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