Individual
JULIAN DIAVANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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