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Individual

DIEGO JOSE HEREDIA VINTIMILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
311 9TH ST N STE 304, NAPLES, FL 34102-5887
(239) 624-8250
(239) 624-8171
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1840
(574) 237-6069

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME144293
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201289950
IN
Enumeration date
08/24/2009
Last updated
09/11/2025
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