Raina Diedrick, PHYSICIAN ASSISTANT

NPI #1073895132 in Fort Lauderdale, Florida

Provider Information

NPI Number
1073895132
Entity Type
Individual
Name
Raina Diedrick, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Sep 15, 2011
Last Updated
Jun 10, 2020

Practice Location

Address
1995 E OAKLAND PARK BLVD
Address 2
STE 310
State
Florida
ZIP Code
33306-1138
Phone
(954) 791-6146

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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