Dietzius, Harold Paul

Dietzius, Harold Paul is an individual health care provider with primary practice located at 6444 Beach Blvd , Jacksonville FL 32216. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Dietzius, Harold Paul can be contacted via phone (904) 805-9600.

Contact Information

Primary practice address
6444 Beach Blvd Jacksonville FL 32216
Phone: (904) 805-9600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME110096 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME110096 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME110096 Florida

Profile Details

NPI number 1649253790
LBN Legal business name Dietzius, Harold Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Apr 2nd, 2015 - about 11 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 1649253790 NPPES
Florida MEDICAID 0033845700

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