Individual
DIANE HARDING RHODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1921 WALDEMERE ST, SUITE 504, SARASOTA, FL 34239-2943
(941) 917-1579
(941) 917-4340
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
23599
OK
208600000X
Surgery Physician
E4479
AR
208600000X
Surgery Physician
Primary
ME107490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006498800
—
FL
01
—
0705003330
QUALCHOICE
—
05
—
200019600B
—
OK
01
—
33181
BCBS
FL
01
—
5N779
BCBS
—
01
—
P00387238
RAILROAD MEDICARE
—
Enumeration date
01/26/2006
Last updated
07/25/2016
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