David Daniel Dieterich in Clearwater - Cardiovascular Disease

David Daniel Dieterich - NPI 1083603591

David Daniel Dieterich is a Cardiovascular Disease in Clearwater, Florida. David Daniel Dieterich practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for David Daniel Dieterich is 1083603591. The last update date is 2012-10-26.

David Daniel Dieterich's current location address is 455 Pinellas St, Clearwater, Florida. You can contact this provider via phone number 7274451992 and fax number 7274451993. The mailing address for David Daniel Dieterich is 455 Pinellas St, Clearwater, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name David Daniel Dieterich
Address 455 Pinellas St, Clearwater, Florida
Phone Number 7274451992
Fax Number 7274451993
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1083603591
Provider Enumeration Date 2005-10-18
Last Updated Date 2012-10-26

Provider Mailing Address Detail

Address 455 Pinellas St
City Clearwater
State Florida (FL)
Post Code 337563356
Phone Number 7274451992
Fax Number 7274451993

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 53669
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
65988600 FL --
82318X MEDICARE PTAN

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FAQs about David Daniel Dieterich

What is the unique identifier code issued to David Daniel Dieterich by the Centers for Medicare & Medicaid Services (CMS)?

The David Daniel Dieterich has been assigned the NPI (National Provider Identifier) 1083603591. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where David Daniel Dieterich's facilities are geographically located?

The facilities of David Daniel Dieterich are physically situated at the following location: 455 Pinellas St, Clearwater, FL, 337563356.

What is David Daniel Dieterich's area of expertise and its corresponding taxonomy classification?

The David Daniel Dieterich's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1083603591 to David Daniel Dieterich?

The Centers for Medicare & Medicaid Services assigned the 1083603591 to David Daniel Dieterich on 2005-10-18.

As of what date were the details pertaining to David Daniel Dieterich last refreshed?

The information related to the David Daniel Dieterich, including its address, specialty, and other relevant details, was last updated on 2012-10-26.

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