| Diana J Graves Do Llc | |
|
2521 Se Lake Weir Ave Ocala FL 34471-6722 | |
| (352) 690-6900 | |
| (352) 671-9525 |
| Full Name | Diana J Graves Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2521 Se Lake Weir Ave, Ocala, Florida |
| Authorized Official Name and Position | Diana Johnstone Graves (OWNER) |
| Authorized Official Contact | 3526906900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana J Graves Do Llc 2521 Se Lake Weir Ave Ocala FL 34471-6722 Ph: (352) 690-6900 | Diana J Graves Do Llc 2521 Se Lake Weir Ave Ocala FL 34471-6722 Ph: (352) 690-6900 |
| NPI Number | 1578881645 |
|---|---|
| Provider Enumeration Date | 05/13/2010 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 3678604279 |
|---|---|
| Medicare Enrollment ID | O20100625000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578881645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Diana Johnstone Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265524870 PECOS PAC ID: 6800960279 Enrollment ID: I20080801000559 |
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