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Individual

JULIAN DIAVANTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1840 W 49TH ST STE 404, HIALEAH, FL 33012-2978
(305) 828-9980
(786) 507-4734
Mailing address
1840 W 49TH ST STE 404, HIALEAH, FL 33012-2978
(786) 303-1367

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
ME108115
FL
208000000X
Pediatrics Physician
Primary
ME108115
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME108115
FL
208VP0014X
Interventional Pain Medicine Physician
ME108115
FL

Other

Enumeration date
09/01/2010
Last updated
09/12/2025
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