DIANE WALDER MDPA NPI 1013940774

NPI Information

  • NPI: 1013940774
  • Provider Name: DIANE WALDER MDPA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1111 KANE CONCOURSE
    SUITE 100
    BAY HARBOR ISLANDS, FL
    ZIP 33154
  • Phone: (305) 866-2177

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NPI Details

DIANE WALDER MDPA is a specialist in Bay Harbor Islands, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DIANE WALDER MDPA NPI is 1013940774. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 KANE CONCOURSE
SUITE 100
BAY HARBOR ISLANDS, FL
ZIP 33154-029
Phone: (305) 866-2177
Fax: (305) 866-5302

The provider's authorized official is Diane Walder .
The authorized official title is President and has the following contact phone number (305) 866-2177.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME39412FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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