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Provider Information for 1205007036

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DIANA CATHERINE MACCARIO M.D.

Gender: FEMALE

Individual NPI: 1205007036

Calendar   Last Updated:  2021-06-08
  Certification Date:  2021-05-20

Details

Name Value
NPI 1205007036
Enumeration Date 2008-03-19
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 9191 RG SKINNER PKWY SUITE 603
JACKSONVILLE, FL 32256-0001
United States

Phone: 904-538-0950 | Fax: 904-538-0952
View Map External Link
Primary Practice Address 9191 RG SKINNER PKWY SUITE 603
JACKSONVILLE, FL 32256-0001
United States

Phone: 904-538-0950 | Fax: 904-538-0952
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine FL ME103566
No 207Q00000X - Family Medicine FL TRN