Pichardo, Diely

Pichardo, Diely is an individual health care provider with primary practice located at 1430 S Pine St , Melbourne FL 32901-3119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Pichardo, Diely can be contacted via phone (321) 952-0898.

Contact Information

Primary practice address
1430 S Pine St Melbourne FL 32901-3119
Phone: (321) 952-0898
Fax: (321) 722-1342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME91834 Florida

Profile Details

NPI number 1194701573
LBN Legal business name Pichardo, Diely
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jan 7th, 2019 - about 5 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 1194701573 NPPES
Florida Other 287612 WELLCARE
Florida Other 3789162 WELLCARE
Florida Other 03411 WELLCARE
Florida Other 6000828001 WELLCARE
Florida Other 7653665 WELLCARE
Florida MEDICAID 272209700 WELLCARE

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