| Eric Diamond Phd Pa | |
|
4131 Nw 28th Ln Suite 6 Gainesville FL 32606-7432 | |
| (352) 375-3001 | |
| (352) 375-1003 |
| Full Name | Eric Diamond Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 4131 Nw 28th Ln, Gainesville, Florida |
| Authorized Official Name and Position | Eric Diamond (PSYCHOLOGIST) |
| Authorized Official Contact | 3523753001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Diamond Phd Pa 4131 Nw 28th Ln Suite 6 Gainesville FL 32606-7432 Ph: (352) 375-3001 | Eric Diamond Phd Pa 4131 Nw 28th Ln Suite 6 Gainesville FL 32606-7432 Ph: (352) 375-3001 |
| NPI Number | 1922278183 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 07/08/2013 |
| Medicare PECOS PAC ID | 8123088523 |
|---|---|
| Medicare Enrollment ID | O20041011000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922278183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3331 (Florida) | Primary |
| Provider Name | Eric L Diamond |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013068584 PECOS PAC ID: 8022078427 Enrollment ID: I20041011000577 |
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