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Organization
DIANA HEALTH FL P.A.
Active
Organization
DIANA HEALTH FL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN EISENBARTH (PAYER RELATIONS)
(850) 243-2229
Entity
Organization
Contact information
Practice address
1046 MAR WALT DR, SUITE 200, FORT WALTON BEACH, FL 32547
(850) 243-2229
Mailing address
178 COLUMBUS AVE, #237190 SMB#33783, NEW YORK, NY 10023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
12/01/2023
Last updated
11/24/2025
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