MICHAEL RAYMOND DIANA

JACKSONVILLE, FL
NPI1558338822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9101509)
Enumeration Date2006-03-04
Last Update Date2011-06-22
Business Address
Mr. MICHAEL RAYMOND DIANA PA-C
7645 MERRILL RD STE 301 UFJP MERRILL STATION FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32277-6575
Phone number: 904-699-0285
Mailing Address
Mr. MICHAEL RAYMOND DIANA PA-C
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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