Individual
DR. DIANE D SPEEDLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36500 EMERALD COAST PKWY, DESTIN, FL 32541-4713
(850) 269-0301
(850) 269-0203
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 478-1312
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME88886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268326100
—
FL
01
—
592-10250
BLUE CROSS BLUE SHIELD
AL
01
—
82233
BLUE CROSS BLUE SHIELD
FL
01
—
P00802932
MEDICARE RAILROAD
FL
Enumeration date
06/12/2006
Last updated
09/24/2012
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