DIANA MANIS FICK PA NPI 1528781655

NPI Information

  • NPI: 1528781655
  • Provider Name: DIANA MANIS FICK, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 341 RACETRACK RD NW STE B
    FORT WALTON BEACH, FL
    ZIP 32547
  • Phone: (850) 226-8112

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NPI Details

Diana Manis Fick, PA is a surgical physician assistant in Fort Walton Beach, FL with 6 years of experience. Diana Manis Fick, PA NPI is 1528781655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

341 RACETRACK RD NW STE B
FORT WALTON BEACH, FL
ZIP 32547-788
Phone: (850) 226-8112
Fax: (850) 362-6068

The NPI 1528781655 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2022 and was last updated on 9/6/2023.

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
1363AS0400XPhysician AssistantSurgical9116186FLORIDAYes

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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