Individual
AMY ELIZABETH DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 W COLONIAL DR STE 288, OCOEE, FL 34761-3432
(407) 521-3600
(407) 521-3603
Mailing address
10000 W COLONIAL DR STE 288, OCOEE, FL 34761-3432
(407) 521-3600
(407) 521-3603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9106495-PAX9356
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9106495
FL
Other
Enumeration date
07/26/2012
Last updated
07/21/2022
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