# DIANA J GRAVES DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** .Diana J. Graves, D.O.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578881645
- **Authorized official:** DR. DIANA JOHNSTONE GRAVES D.O. (OWNER)
- **Authorized official phone:** (352) 690-6900

## Contact information

- **Practice address:** 2521 SE LAKE WEIR AVE, OCALA, FL 34471-6722
- **Practice address phone:** (352) 690-6900
- **Practice address fax:** (352) 671-9525
- **Mailing address:** 2521 SE LAKE WEIR AVE, OCALA, FL 34471-6722
- **Mailing address phone:** (352) 690-6900
- **Mailing address fax:** (352) 671-9525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2010
- **Last updated:** 12/04/2023