Mainwold, Diane Hermanie

Mainwold, Diane Hermanie is an individual health care provider with primary practice located at 1318 S Pine St , Melbourne FL 32901-3117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Mainwold, Diane Hermanie can be contacted via phone (321) 952-9500.

Contact Information

Primary practice address
1318 S Pine St Melbourne FL 32901-3117
Phone: (321) 952-9500
Fax: (321) 952-2299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X OS6956 Florida

Profile Details

NPI number 1659365401
LBN Legal business name Mainwold, Diane Hermanie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Sep 25th, 2014 - 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 1659365401 NPPES
Florida MEDICAID 070207200

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