Individual
DIANA JOHNSTONE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2521 SE LAKE WEIR AVE, OCALA, FL 34471-6722
(352) 690-6900
(352) 671-9525
Mailing address
2521 SE LAKE WEIR AVE, OCALA, FL 34471-6722
(352) 690-6900
(352) 671-9525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS6568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372308900
—
FL
Enumeration date
09/29/2006
Last updated
12/04/2023
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