Individual
MRS. DIANE A SCHLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
616 S JEFFERSON STREET, PERRY, FL 32347
(850) 584-5876
(850) 584-4939
Mailing address
616 S JEFFERSON STREET, PERRY, FL 32347
(850) 584-5876
(850) 584-4939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47095
BLUE CROSS BLUE SHIELD
—
01
—
OS7860
MEDICAL LICENSE
FL
Enumeration date
06/18/2006
Last updated
12/11/2007
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