Diamond, Jack

Diamond, Jack is an individual health care provider with primary practice located at 27225 State Road 56 , Wesley Chapel FL 33544-8832. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Diamond, Jack can be contacted via phone (813) 973-7035.

Contact Information

Primary practice address
27225 State Road 56 Wesley Chapel FL 33544-8832
Phone: (813) 973-7035
Fax: (813) 973-7396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS24807 Florida

Profile Details

NPI number 1184152886
LBN Legal business name Diamond, Jack
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2017
Last updated Jun 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184152886 NPPES
Florida MEDICAID 016460200

Popular Providers