Individual
MR. MATTHEW PAUL DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
615 E PRINCETON ST STE 101, ORLANDO, FL 32803-1435
(407) 236-0006
(407) 236-0007
Mailing address
615 E PRINCETON ST STE 101, ORLANDO, FL 32803-1435
(407) 236-0006
(407) 236-0007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9103321
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9103321
FL
Other
Enumeration date
12/27/2005
Last updated
10/07/2020
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