Blythe, Diana K

Blythe, Diana K is an individual health care provider with primary practice located at 9655 Nw 41St St , Doral FL 33178-2973. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Blythe, Diana K can be contacted via phone (305) 436-1563.

Contact Information

Primary practice address
9655 Nw 41St St Doral FL 33178-2973
Phone: (305) 436-1563
Fax: (305) 436-1564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C128729 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME104378 Florida

Profile Details

NPI number 1669633624
LBN Legal business name Blythe, Diana K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Dec 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669633624 NPPES
Florida MEDICAID 110358200

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