Individual
JERRY A DIEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME42529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30646
FL BCBS
FL
Enumeration date
05/23/2006
Last updated
03/11/2008
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