Diane Walder Mdpa

NPI #1013940774 in Bay Harbor Islands, Florida

Provider Information

NPI Number: 1013940774
Entity Type: Organization
Organization Name: Diane Walder Mdpa
Primary Specialty: Specialist
Enumeration Date: Jul 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1111 KANE CONCOURSE
Address 2: SUITE 100
City: Bay Harbor Islands
State: Florida
ZIP Code: 33154-2029
Phone: (305) 866-2177

Authorized Official

Name: DIANE WALDER, MD
Title: PRESIDENT
Phone: (305) 866-2177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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