Provider Demographics
NPI:1033115290
Name:KASMER, DIANE K (DC)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:K
Last Name:KASMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 SE FORT KING ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2532
Mailing Address - Country:US
Mailing Address - Phone:352-629-9922
Mailing Address - Fax:352-629-9923
Practice Address - Street 1:1705 SE FORT KING ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2532
Practice Address - Country:US
Practice Address - Phone:352-629-9922
Practice Address - Fax:352-629-9923
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0008223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70210OtherBLUE CROSS
FLCH0008223OtherFLORIDA LISCENCE
FL70210OtherBLUE CROSS
FLCH0008223OtherFLORIDA LISCENCE