Organization
DIANA FISCHER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA FISCHER MD (PRESIDENT)
(561) 649-1414
Entity
Organization
Contact information
Practice address
3898 VIA POINCIANA, SUITE # 16, LAKE WORTH, FL 33467-2951
(561) 649-1414
(561) 649-1401
Mailing address
3898 VIA POINCIANA, SUITE # 16, LAKE WORTH, FL 33467-2951
(561) 649-1414
(561) 649-1401
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME70948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250214300
—
FL
Enumeration date
11/10/2008
Last updated
12/23/2008
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