Individual
DR. ANDREW J DIACZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4887 34TH ST S, ST PETERSBURG, FL 33711-4509
(727) 864-4047
(727) 864-0060
Mailing address
4887 34TH ST S, ST PETERSBURG, FL 33711-4509
(727) 864-4047
(727) 864-0060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1348
FL
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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