Organization
DIANE WALDER MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WALDER MD (PRESIDENT)
(305) 866-2177
Entity
Organization
Contact information
Practice address
1111 KANE CONCOURSE, SUITE 100, BAY HARBOR ISLANDS, FL 33154-2029
(305) 866-2177
(305) 866-5302
Mailing address
1111 KANE CONCOURSE, SUITE 100, BAY HARBOR ISLANDS, FL 33154-2029
(305) 866-2177
(305) 866-5302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME39412
FL
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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