DIANE A SCHLICK DO LLC

PERRY, FL
NPI1205943164
Former Legal Business NameDIANE A. HAISTEN, DO, LLC
Entity TypeOrganization
Authorized ContactDIANE A SCHLICK
Proprieter
850-584-5876
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS7860)
Enumeration Date2006-08-24
Last Update Date2007-08-02
Business Address
DIANE A SCHLICK DO LLC
616 S JEFFERSON ST
PERRY, FL 32347-4115
Phone number: 850-584-5876
Mailing Address
DIANE A SCHLICK DO LLC
616 S JEFFERSON ST
PERRY, FL 32347-4115
Phone number: 850-584-5876