| Medical Arts Professional Health Services Inc | |
|
13215 Spring Hill Dr Spring Hill FL 34609-5054 | |
| (352) 683-0232 | |
| (352) 683-0247 |
| Full Name | Medical Arts Professional Health Services Inc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 13215 Spring Hill Dr, Spring Hill, Florida |
| Authorized Official Name and Position | Thair R Dieffenbach (PH.D.) |
| Authorized Official Contact | 3526830232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Arts Professional Health Services Inc 13215 Spring Hill Dr Spring Hill FL 34609-5054 Ph: (352) 683-0232 | Medical Arts Professional Health Services Inc 13215 Spring Hill Dr Spring Hill FL 34609-5054 Ph: (352) 683-0232 |
| NPI Number | 1730198599 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 03/19/2013 |
| Medicare PECOS PAC ID | 1759527872 |
|---|---|
| Medicare Enrollment ID | O20130416000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730198599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH0002734 (Florida) | Secondary |
| 207V00000X | Obstetrics & Gynecology | ME55252 (Florida) | Primary |
| Provider Name | Louis A Dieffenbach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699784587 PECOS PAC ID: 9537052030 Enrollment ID: I20040207000018 |
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