Individual
JAMES DIECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1304 OAK ST, MELBOURNE, FL 32901-3111
(321) 723-4723
(321) 727-1448
Mailing address
1304 OAK ST, MELBOURNE, FL 32901-3111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9330864
FL
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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